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NPI Code Detail

MEDICARE: ANNETTE ELWOOD CRNA

MEDICARE: ANNETTE ELWOOD 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 Anesthetist3434WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1158395-30OTHERWIWI STATE LIC RN
23434-33OTHERWIWI STATE LIC APNP

General Provider Information

NPI Number : 1558397125
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE ELWOOD CRNA
Provider Business Mailing Address
First Line : 900 ILLINOIS AVE
Second Line :
City : STEVENS POINT
State : WI
Zip : 54481-3114
Country : US
Telephone Number : 715-346-5000
Fax Number :
Provider Business Practice Location Address
First Line : 900 ILLINOIS AVE
Second Line :
City : STEVENS POINT
State : WI
Zip : 54481-3114
Country : US
Telephone Number : 715-346-5000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2006
Last Update Date : 11/17/2022

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