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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JONATHAN MICHAEL WILDY, CRNA

Active

JONATHAN MICHAEL WILDY, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in PRAIRIE VILLAGE, Kansas. NPI 1619137288 is currently active in the NPPES registry. Verify at CMS.

Certified Nurse Anesthetist (CRNA) · PRAIRIE VILLAGE, KS

Registration Details

NPI Number
1619137288
Provider Type
Individual
Gender
Male
NPI Issued
Jun 16, 2008 (18.1785961087 yrs)
Last Updated
Oct 18, 2011
Licenses
1390081012 (KS)
3906 (CA)
0024168911 (VA)
556930 (KS)

Practice Information

Address
5101 W 73RD ST
PRAIRIE VILLAGE, KS, 662082434
Browse KS providers · Browse ZIP 66208
Phone
6196001023
Primary Specialty
Certified Nurse Anesthetist (CRNA)
367500000X

Other Certified Nurse Anesthetist (CRNA) Providers in PRAIRIE VILLAGE, KS

Name Credential NPI
JANET H SIUDA CRNA 1508976366
MR. CONOR T MULCAHY CRNA 1295096709
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.