Walker Hodges, Wanda Charlene

Walker Hodges, Wanda Charlene is an individual health care provider with primary practice located at 1304 Wigeon Ct , Upper Marlboro MD 20774-7083. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Walker Hodges, Wanda Charlene can be contacted via phone (301) 218-2195.

Contact Information

Primary practice address
1304 Wigeon Ct Upper Marlboro MD 20774-7083
Phone: (301) 218-2195
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 752 South Carolina

Profile Details

NPI number 1811957947
LBN Legal business name Walker Hodges, Wanda Charlene
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Sep 16th, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811957947 NPPES
South Carolina MEDICAID AN0722

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