MEDICARE: PETER N ANYONA 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
1	367500000X	Certified Registered Nurse Anesthetist	1104535	WI

General Provider Information

NPI Number	:	1245030576
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PETER N ANYONA CRNA

Provider Business Mailing Address
First Line	:	5466 CASTLEVIEW DR NW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-2243
Country	:	US
Telephone Number	:	952-688-1653
Fax Number	:

Provider Business Practice Location Address
First Line	:	5466 CASTLEVIEW DR NW
Second Line	:
City	:	ROCHESTER
State	:	MN
Zip	:	55901-2243
Country	:	US
Telephone Number	:	952-688-1653
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2025
Last Update Date	:	12/22/2025

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Directions to “ PETER N ANYONA CRNA” Practice Location

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