Judith A Bottger in Waconia - Nurse Anesthetist, Certified Registered
Judith A Bottger - NPI 1720088446
Judith A Bottger is a Nurse Anesthetist, Certified Registered in Waconia, Minnesota. Judith A Bottger practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Judith A Bottger is 1720088446. The last update date is 2008-04-28.
Judith A Bottger's current location address is 400 E 10th St, Waconia, Minnesota. You can contact this provider via phone number 9524429770 and fax number 9524423620. The mailing address for Judith A Bottger is 400 E 10th St, Waconia, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judith A Bottger |
|---|---|
| Address | 400 E 10th St, Waconia, Minnesota |
| Phone Number | 9524429770 |
| Fax Number | 9524423620 |
| Sole Proprietor | Y |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1720088446 |
|---|---|
| Provider Enumeration Date | 2005-07-22 |
| Last Updated Date | 2008-04-28 |
Provider Mailing Address Detail
| Address | 400 E 10th St |
|---|---|
| City | Waconia |
| State | Minnesota (MN) |
| Post Code | 553874552 |
| Phone Number | 9524429770 |
| Fax Number | 9524423620 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | D042389 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 2553990 | IA | -- | |
| 33480 | IA | BLUE CROSS OF IA | |
| 10024954000 | NE | -- | |
| 3553990 | IA | -- | |
| R013639 | DAKOTACARE | ||
| 40726 | SD | BLUE CROSS OF SD | |
| 8652 | NE | BLUE CROSS OF NE | |
| 5753240 | SD | -- | |
| 7511 | AVERA HEALTH PLANS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Judith A Bottger by the Centers for Medicare & Medicaid Services?
The Judith A Bottger has been issued the NPI (National Provider Identifier) 1720088446 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Judith A Bottger?
The Judith A Bottger is situated at 400 E 10Th St, in the city of Waconia, state of MN, with the zip code 553874552.
What is the Judith A Bottger's area of specialization and corresponding taxonomy classification?
The Judith A Bottger's specialty field is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their specialties.
On what date did the Judith A Bottger receive the assignment of its 1720088446 from the Centers for Medicare & Medicaid Services?
The Judith A Bottger was issued its 1720088446 by the Centers for Medicare & Medicaid Services on 2005-07-22.
When was the information regarding Judith A Bottger most recently updated?
The details pertaining to the Judith A Bottger, including its address, specialty, and other relevant information, were last refreshed on 2008-04-28.
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