Individual provider · Type 1 NPI

Jonathan Michael Wildy, CRNA

Certified Registered Nurse Anesthetist · Prairie Village, KS

NPI number 1619137288 Active

Practice location

5101 W 73rd St
Prairie Village, KS 66208-2434

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X1390081012 (KS)
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Certified Registered Nurse Anesthetist Primary 367500000X3906 (CA)
Certified Registered Nurse Anesthetist 367500000X0024168911 (VA)
Certified Registered Nurse Anesthetist 367500000X556930 (KS)

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 1619137288

Jonathan Michael Wildy, CRNA's National Provider Identifier is 1619137288, issued on Jun 16, 2008. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Prairie Village, KS. The record was last updated on Oct 18, 2011.