| Emily D Wuerdeman, CRNA | |
|
3209s 23rd St 340, Tacoma, WA 98405-1602 | |
| (253) 503-2598 | |
| (253) 404-0506 |
| Full Name | Emily D Wuerdeman |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3209s 23rd St 340, Tacoma, Washington |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962738781 | NPI | - | NPPES |
| G8944647 | Other | WA | MDCR PTAN (K) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 150796 (Tennessee) | Secondary |
| 367500000X | Nurse Anesthetist, Certified Registered | AP60577045 (Washington) | Primary |
| Entity Name | Ambulatory Anesthesia Associates Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1720192230 PECOS PAC ID: 2264320829 Enrollment ID: O20040306000100 |
| Entity Name | Northstar Anesthesia Of Virginia, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1194488791 PECOS PAC ID: 6608268826 Enrollment ID: O20220120002585 |
| Mailing Address | Practice Location Address |
|---|---|
| Emily D Wuerdeman, CRNA 1006 N Anderson St, Tacoma, WA 98406-6814 Ph: (731) 796-0407 | Emily D Wuerdeman, CRNA 3209s 23rd St 340, Tacoma, WA 98405-1602 Ph: (253) 503-2598 |
Michael John Means, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2235 | |
Mr. Andrew J Irizarry, DNP, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 330-509-3934 | |
Matthew Libid, CRNA Nurse Anesthetist - CR Medicare: May Accept Medicare Assignments Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 203-768-5053 | |
Mrs. Elizabeth Katherine Mary Pulatie, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9040 A Reid St, Tacoma, WA 98431 Phone: 253-968-1110 | |
Ms. Lisa Ann Petty, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 9040 Jackson Ave, Tacoma, WA 98431 Phone: 253-968-2252 Fax: 253-968-3278 | |
Mr. Andrey Bobrovnikov, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1717 S J St, Tacoma, WA 98405 Phone: 253-426-6341 Fax: 253-426-6344 | |
Craig Andrew Swank, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3209 S 23rd St, Suite 340, Tacoma, WA 98405 Phone: 253-503-2598 Fax: 253-404-0506 |