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NPI Code Detail

MEDICARE: LENE RONNESTAD OGLESBY CRNA

MEDICARE: LENE RONNESTAD OGLESBY 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 AnesthetistRNA203007ME
2367500000XCertified Registered Nurse AnesthetistRN667877PA
3367500000XCertified Registered Nurse Anesthetist7793NC
4367500000XCertified Registered Nurse Anesthetist52699TN
5367500000XCertified Registered Nurse Anesthetist10753TN
6367500000XCertified Registered Nurse Anesthetist3391SC

General Provider Information

NPI Number : 1518075647
Entity Type Code : Individual
Provider Name (Legal Business Name) : LENE RONNESTAD OGLESBY CRNA
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-522-8611
Fax Number :
Provider Business Practice Location Address
First Line : 701 GROVE RD
Second Line :
City : GREENVILLE
State : SC
Zip : 29605-4210
Country : US
Telephone Number : 864-455-3076
Fax Number : 864-455-4135
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/28/2006
Last Update Date : 05/12/2026

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