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NPI Code Detail

MEDICARE: DENISE Y ROTE-HINTZ CRNA

MEDICARE: DENISE Y ROTE-HINTZ 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
1367500000XCertified Registered Nurse AnesthetistAP03009LA
2163W00000XRegistered NurseRN086632LA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1275693285
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE Y ROTE-HINTZ CRNA
Provider Business Mailing Address
First Line : 925 SHERWOOD DR
Second Line :
City : LAKE BLUFF
State : IL
Zip : 60044-2203
Country : US
Telephone Number : 847-615-2200
Fax Number : 888-735-8732
Provider Business Practice Location Address
First Line : 207 JEFFERSON ST
Second Line :
City : MANSFIELD
State : LA
Zip : 71052-2603
Country : US
Telephone Number : 318-872-4160
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/11/2006
Last Update Date : 09/14/2011

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Directions to “ DENISE Y ROTE-HINTZ CRNA” Practice Location

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