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
Address 700 S Park St, Madison, Wisconsin
Phone Number 6082516100
Fax Number 6082585222
Sole Proprietor N
Credentials CRNA

NPI Number Detail

NPI Number 1225004757
Provider Enumeration Date 2006-02-24
Last Updated Date 2020-12-04

Provider Mailing Address Detail

Address 700 S Park St
City Madison
State Wisconsin (WI)
Post Code 537151830
Phone Number 6082516100
Fax Number 6082585222

Provider's Primary Taxonomy Detail

Speciality Nurse Anesthetist, Certified Registered
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
1225004757 WI --

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FAQs about Staci M Kothbauer

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.

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