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NPI Code Detail

MEDICARE: AMANDA L BOCKENFELD CRNA

MEDICARE: AMANDA L BOCKENFELD 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 Anesthetist148166WI

General Provider Information

NPI Number : 1558591883
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA L BOCKENFELD CRNA
Provider Business Mailing Address
First Line : 1221 WHIPPLE ST
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54703-5200
Country : US
Telephone Number : 715-838-3314
Fax Number :
Provider Business Practice Location Address
First Line : 1221 WHIPPLE ST
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54703-5200
Country : US
Telephone Number : 715-838-3314
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2009
Last Update Date : 12/08/2022

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Directions to “ AMANDA L BOCKENFELD CRNA” Practice Location

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