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NPI Code Detail

MEDICARE: MS. KARA ANN FEDIE C.R.N.A.

MEDICARE:  MS. KARA ANN FEDIE  C.R.N.A.
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 Anesthetist4090-33WI
2367500000XCertified Registered Nurse AnesthetistD142385IA

General Provider Information

NPI Number : 1700843984
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KARA ANN FEDIE C.R.N.A.
Provider Business Mailing Address
First Line : 1050 3RD ST NW
Second Line :
City : MASON CITY
State : IA
Zip : 50401-2824
Country : US
Telephone Number : 612-597-1878
Fax Number :
Provider Business Practice Location Address
First Line : 2116 CRAIG RD
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54701-6118
Country : US
Telephone Number : 715-858-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2006
Last Update Date : 09/19/2023

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Directions to “ MS. KARA ANN FEDIE C.R.N.A.” Practice Location

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