Healthcare Provider Details

I. General information

NPI: 1225868268
Provider Name (Legal Business Name): ANNA ELIZABETH STAUFFER PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANNA KNUTSON

II. Dates (important events)

Enumeration Date: 08/05/2024
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1836 SOUTH AVE
LA CROSSE WI
54601-5429
US

IV. Provider business mailing address

N5996 PRAIRIEVIEW DR
ONALASKA WI
54650-9538
US

V. Phone/Fax

Practice location:
  • Phone: 608-782-7300
  • Fax:
Mailing address:
  • Phone: 608-790-4357
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number8141
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: