Healthcare Provider Details

I. General information

NPI: 1316381882
Provider Name (Legal Business Name): LAURA GERWING CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LAURA DAHLHAUSER CRNA

II. Dates (important events)

Enumeration Date: 04/26/2013
Last Update Date: 05/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1305 W 18TH ST
SIOUX FALLS SD
57105-0401
US

IV. Provider business mailing address

PO BOX 1786
FORT COLLINS CO
80522-1786
US

V. Phone/Fax

Practice location:
  • Phone: 605-328-2000
  • Fax: 605-328-4088
Mailing address:
  • Phone: 855-654-5262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberR033530
License Number StateSD
# 2
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberCR000819
License Number StateSD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: