MS. WANDA FAYE IBRAHIM CRNA
NPI 1174543680
Nurse Anesthetist, Certified Registered in Mountain Home, TN

Active since July 20, 2006
CORNER SIDNEY AND LAMONT, MOUNTAIN HOME, TN 37684(423) 926-1171 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Wanda Faye Ibrahim Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. WANDA FAYE IBRAHIM CRNA (NPI 1174543680) is an individual nurse anesthetist, certified registered in Mountain Home, Tennessee, licensed in Tennessee (RN0000025064) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1174543680
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameMS. WANDA FAYE IBRAHIMCredential: CRNA
Location AddressCORNER SIDNEY AND LAMONTMountain Home, TN 37684
Mailing Address1807 Woodhaven DrElizabethton, TN 37643-3912 · (423) 543-1303
Sole ProprietorYes
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1174543680 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License Licensed in TN · RN0000025064
Definition

(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 credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

CORNER SIDNEY AND LAMONT, Mountain Home, TN 37684

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174543680, enumerated as an "individual" on July 20, 2006.

The provider is located at CORNER SIDNEY AND LAMONT MOUNTAIN HOME, TN 37684 and the phone number is (423) 926-1171.

Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.