Russell Wardlaw Certified Registered Nurse Anesthetist
1030 River Oaks Dr, Flowood, MS 39232-9553


Russell Wardlaw is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1245466168. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 6103012281. The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST. The organization is ANESTHESIA CONSULTANTS PA. The address is 1030 River Oaks Dr, Flowood, MS 39232-9553. The zip code is 39232.


Russell Wardlaw · 1030 River Oaks Dr, Flowood, MS 39232-9553

Nation Provider ID 1245466168
PAC ID by PECOS 6103012281
Professional Enrollment ID I20101201000798
Last Name WARDLAW
First Name RUSSELL
Gender M
Medical School Name OTHER
Graduation Year 2008
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST
Primary Specialty ANESTHESIA CONSULTANTS PA
Phone Number 6019321030
Group Practice PAC ID 4486637881
Number of Group Practice Members 28
Address 1030 RIVER OAKS DR
FLOWOOD, MS 392329553
Claims Based Hospital Affiliation