Individual provider · Type 1 NPI

John Tyler Wilson Iv, CRNA, PhD

Certified Registered Nurse Anesthetist · Fort Bragg, NC

NPI number 1508833146 Active

Practice location

Womack Army Medical Center
Fort Bragg, NC 28310-0001

Mailing address

58 Willowcroft Ct
Dunn, NC 28334-6278

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X072006 (NC)

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1508833146

John Tyler Wilson Iv, CRNA, PhD's National Provider Identifier is 1508833146, issued on Mar 2, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Fort Bragg, NC. The record was last updated on Mar 24, 2017.