Staci M Kothbauer in Madison - Nurse Anesthetist, Certified Registered
Staci M Kothbauer - NPI 1225004757
Staci M Kothbauer is a Nurse Anesthetist, Certified Registered in Madison, Wisconsin. Staci M Kothbauer practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Staci M Kothbauer is 1225004757. The last update date is 2020-12-04.
Staci M Kothbauer's current location address is 700 S Park St, Madison, Wisconsin. You can contact this provider via phone number 6082516100 and fax number 6082585222. The mailing address for Staci M Kothbauer is 700 S Park St, Madison, Wisconsin. To know further, please read the information below!
Provider Profile Detail
Provider Name | Staci M Kothbauer |
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Address | 700 S Park St, Madison, Wisconsin |
Phone Number | 6082516100 |
Fax Number | 6082585222 |
Sole Proprietor | N |
Credentials | CRNA |
NPI Number Detail
NPI Number | 1225004757 |
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Provider Enumeration Date | 2006-02-24 |
Last Updated Date | 2020-12-04 |
Provider Mailing Address Detail
Address | 700 S Park St |
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City | Madison |
State | Wisconsin (WI) |
Post Code | 537151830 |
Phone Number | 6082516100 |
Fax Number | 6082585222 |
Provider's Primary Taxonomy Detail
Speciality | Nurse Anesthetist, Certified Registered |
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Taxonomy | 367500000X |
Licence No | 13813430 |
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 |
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1225004757 | WI | -- |
Post Comment/ Review Below
What is the Staci M Kothbauer's unique identification number?
The Staci M Kothbauer has been assigned the NPI (National Provider Identifier) Number 1225004757 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Staci M Kothbauer's facilities are situated?
The facilities of Staci M Kothbauer are physically located at the following address: 700 S Park St, Madison, WI, 537151830.
What is Staci M Kothbauer's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Staci M Kothbauer is Nurse Anesthetist, Certified Registered, and the taxonomy classification code that categorizes this area of expertise is 367500000X.
When did the Staci M Kothbauer receive its 1225004757?
The Staci M Kothbauer was issued its 1225004757 on 2006-02-24, which is the date when the organization was assigned this unique identifier.
When was the information regarding Staci M Kothbauer, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Staci M Kothbauer, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-12-04.