DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NATHAN W BALK CRNA

MEDICARE: NATHAN W BALK 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 Anesthetist7656-33WI

General Provider Information

NPI Number : 1578914503
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATHAN W BALK CRNA
Provider Business Mailing Address
First Line : 1035 KEPLER DR
Second Line :
City : GREEN BAY
State : WI
Zip : 54311-8320
Country : US
Telephone Number : 920-490-9046
Fax Number :
Provider Business Practice Location Address
First Line : 2845 GREENBRIER RD
Second Line :
City : GREEN BAY
State : WI
Zip : 54311-6519
Country : US
Telephone Number : 920-288-3388
Fax Number : 920-288-3370
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/30/2016
Last Update Date : 04/08/2026

Similar Medicare Providers

1417899089 — BROOKE ELISE PRESNY
Practice Location Address:
2845 GREENBRIER RD
GREEN BAY, WI
54311-6519
Practice Phone: 920-490-9046
Practice Fax:
1265435853 — DR. CYNTHIA L GEOCARIS M.D.
Practice Location Address:
2845 GREENBRIER RD
GREEN BAY, WI
54311-6519
Practice Phone: 920-288-8250
Practice Fax: 920-288-8255
1780681445 — DR. MARK RIEDY MD
Practice Location Address:
2845 GREENBRIER RD , SUITE 210
GREEN BAY, WI
54311-6519
Practice Phone: 920-288-8100
Practice Fax:
1285626846 — DR. CANDENA L ALLENBRAND M.D.
Practice Location Address:
2845 GREENBRIER RD
GREEN BAY, WI
54311-6519
Practice Phone: 920-288-4560
Practice Fax:
1265427876 — DR. SCOTT ALLEN KOSS M.D.
Practice Location Address:
2845 GREENBRIER RD
GREEN BAY, WI
54311-6519
Practice Phone: 920-288-4848
Practice Fax: 920-288-4956
1295723948 — MICHAEL PIERSON MD
Practice Location Address:
2845 GREENBRIER RD
GREEN BAY, WI
54311-6519
Practice Phone: 877-229-0273
Practice Fax: 920-288-4863

Directions to “ NATHAN W BALK CRNA” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.