Healthcare Provider Details

I. General information

NPI: 1326082140
Provider Name (Legal Business Name): ALINA S. ANGYALOSY CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2006
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 HIGHLAND AVE
MADISON WI
53792-3500
US

IV. Provider business mailing address

1307 BROOK LN
GLENVIEW IL
60025-2317
US

V. Phone/Fax

Practice location:
  • Phone: 608-263-8100
  • Fax: 608-262-6247
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1121836
License Number StateWI
# 2
Primary TaxonomyN
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number209.005484
License Number StateIL
# 3
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberAPRN11036585
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: