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NPI Code Detail

MEDICARE: JEFFERY SIMPKINS CRNA

MEDICARE: JEFFERY SIMPKINS CRNA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist110270-30WI
2367500000XCertified Registered Nurse Anesthetist110270-030WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477614394
Entity Type Code : Individual
Provider Name (Legal Business Name) : JEFFERY SIMPKINS CRNA
Provider Business Mailing Address
First Line : 130 S KNOWLES AVE
Second Line :
City : NEW RICHMOND
State : WI
Zip : 54017-1727
Country : US
Telephone Number : 715-246-3018
Fax Number : 715-246-3019
Provider Business Practice Location Address
First Line : 130 S KNOWLES AVE
Second Line :
City : NEW RICHMOND
State : WI
Zip : 54017-1727
Country : US
Telephone Number : 715-246-3018
Fax Number : 715-246-3019
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/13/2006
Last Update Date : 03/19/2019

Similar Medicare Providers

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Practice Location Address:
130 S KNOWLES AVE
NEW RICHMOND, WI
54017-1727
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Practice Fax: 715-246-3019
1972521706 — MR. CURTIS W. OLSON CRNA
Practice Location Address:
130 S KNOWLES AVE
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1386663706 — MR. BRADLEY JOE BYKER CRNA
Practice Location Address:
130 S KNOWLES AVE
NEW RICHMOND, WI
54017-1727
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Practice Fax:
1215028170 — MICHAEL D VAD CRNA
Practice Location Address:
130 S KNOWLES AVE
NEW RICHMOND, WI
54017-1727
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Practice Fax: 715-246-3019
1902082563 — MR. TODD DENNIS PETERSEN CRNA
Practice Location Address:
130 S KNOWLES AVE
NEW RICHMOND, WI
54017-1727
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1316116130 — JENNIFER JOYCE TRETSVEN CRNA
Practice Location Address:
130 S KNOWLES AVE
NEW RICHMOND, WI
54017-1727
Practice Phone: 715-246-3018
Practice Fax: 715-246-3019

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