Stephen Larson in Antigo - Nurse Anesthetist, Certified Registered
Stephen Larson - NPI 1568465201
Stephen Larson is a Nurse Anesthetist, Certified Registered in Antigo, Wisconsin. Stephen Larson practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Stephen Larson is 1568465201. The last update date is 2014-04-16.
Stephen Larson's current location address is 112 E 5th Ave, Antigo, Wisconsin. You can contact this provider via phone number 7156232331. The mailing address for Stephen Larson is 112 E 5th Ave, Antigo, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen Larson |
|---|---|
| Address | 112 E 5th Ave, Antigo, Wisconsin |
| Phone Number | 7156232331 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1568465201 |
|---|---|
| Provider Enumeration Date | 2005-05-26 |
| Last Updated Date | 2014-04-16 |
Provider Mailing Address Detail
| Address | 112 E 5th Ave |
|---|---|
| City | Antigo |
| State | Wisconsin (WI) |
| Post Code | 5440927100 |
| Phone Number | 7156232331 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | R-081276-4 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1882 | IBAX | ||
| 136542800 | MN | -- | |
| 52D0662095 | CLIA | ||
| 43293000 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Stephen Larson by the Centers for Medicare & Medicaid Services?
The Stephen Larson has been issued the NPI (National Provider Identifier) 1568465201, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Stephen Larson's physical address?
The Stephen Larson is physically located at 112 E 5Th Ave, in the city of Antigo, WI, with the postal code 5440927100.
Could you please provide the complete street address where Stephen Larson is physically located?
The Stephen Larson is physically situated at the following address: 112 E 5Th Ave, Antigo, WI, 5440927100.
What is Stephen Larson's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Stephen Larson is Nurse Anesthetist, Certified Registered, and the taxonomy code that categorizes this field of expertise is 367500000X.
As of what date were the details related to Stephen Larson most recently updated or revised?
The information pertaining to Stephen Larson, including its address, specialty, and other relevant details, was last updated or revised on 2014-04-16.