| Ms Wanda Faye Ibrahim, CRNA | |
|
Corner Sidney And Lamont, Mountain Home, TN 37684 | |
| (423) 926-1171 | |
| Not Available |
| Full Name | Ms Wanda Faye Ibrahim |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | Corner Sidney And Lamont, Mountain Home, Tennessee |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174543680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | RN0000025064 (Tennessee) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Wanda Faye Ibrahim, CRNA 1807 Woodhaven Dr, Elizabethton, TN 37643-3912 Ph: (423) 543-1303 | Ms Wanda Faye Ibrahim, CRNA Corner Sidney And Lamont, Mountain Home, TN 37684 Ph: (423) 926-1171 |
Mrs. Cathy Jo Hunt, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: Corner Sidney & Lamont, Mountain Home, TN 37684 Phone: 423-926-1171 | |
Mr. Nancy Hughes Roberts, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: James H. Quillen Vamc, Lamont Street, Mountain Home, TN 37684 Phone: 423-926-1171 |