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NPI Code Detail

MEDICARE: NIKKI A. BONITZ CRNA

MEDICARE:   NIKKI A. BONITZ  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 Anesthetist7476WI
2367500000XCertified Registered Nurse AnesthetistD156873IA

General Provider Information

NPI Number : 1396026266
Entity Type Code : Individual
Provider Name (Legal Business Name) : NIKKI A. BONITZ CRNA
Provider Business Mailing Address
First Line : 507 S MONROE ST
Second Line :
City : LANCASTER
State : WI
Zip : 53813-2099
Country : US
Telephone Number : 608-723-2143
Fax Number :
Provider Business Practice Location Address
First Line : 2116 CRAIG RD
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54701-6118
Country : US
Telephone Number : 715-858-4500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2011
Last Update Date : 06/10/2026

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Directions to “ NIKKI A. BONITZ CRNA” Practice Location

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