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RUSSELL WADE DAILY CRNA
>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1316124985
Individual Registrant: RUSSELL WADE DAILY CRNA
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
1300 S MONTGOMERY AVE SHEFFIELD, AL 35660-6334 US
Tel: 256-386-4005 Fax: --
Tel: 256-386-4005 Fax: --
Contact information for business:
341 KINGSTON DR FLORENCE, AL 35633-1728 US
Tel: 256-765-2271 Fax: --
Tel: 256-765-2271 Fax: --
Registration Information:
NPI: 1316124985
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 367500000X | Physician Assistants & Advanced Practice Nursing Providers Nurse Anesthetist, Certified Registered | AL | 1-097495 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
