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NPI Code Detail

MEDICARE: ASHLEY KOLLODGE APNP, CRNA

MEDICARE: ASHLEY KOLLODGE APNP, 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 Anesthetist11146WI
2367500000XCertified Registered Nurse Anesthetist2450MN

General Provider Information

NPI Number : 1932739224
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY KOLLODGE APNP, CRNA
Provider Business Mailing Address
First Line : 1221 WHIPPLE ST
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54703-5270
Country : US
Telephone Number : 715-838-5222
Fax Number :
Provider Business Practice Location Address
First Line : 1400 BELLINGER ST
Second Line :
City : EAU CLAIRE
State : WI
Zip : 54703-5222
Country : US
Telephone Number : 715-838-5222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2020
Last Update Date : 06/10/2026

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