Jeffery P Antonissen CRNA

  • NPI 1760494512
According to our database, the NPI number for Jeffery P Antonissen CRNA is 1760494512 and activated since 17 years ago. Jeffery P Antonissen CRNA is an individual provider who specializes in Nurse Anesthetist, Certified Registered, and the primary practice location is 2845 Greenbrier Rd, Green Bay, WI 54311. You can also contact Jeffery P Antonissen CRNA via telephone number is (920) 288-3388. Provider NPI information was last updated on 08/28/2008.

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Overview of Jeffery P Antonissen CRNA

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 08/12/2006
  • Last updated: 08/28/2008

Primary Scrop of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: 113583
  • License State: WI

Provider Mailing Address

  • Address: 2845 Greenbrier Rd
    Po Box 8900
    Green Bay, WI 54308
  • Phone: 920-288-3388
  • Fax: 920-288-3370

Provider Practice Location

  • Address: 2845 Greenbrier Rd
    Green Bay, WI 54311
  • Phone: 920-288-3388
  • Fax: 920-288-3370

Scope of Practice

  • Taxonomy Code: 367500000X
  • Specialty: Nurse Anesthetist, Certified Registered
  • License Number: 113583
  • License State: WI
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: P00033987
  • Identifier Type: Other
  • Identifier State: WI
  • Issuer: RAILROAD

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Jeffery P Antonissen CRNA?
  • A: The npi number for Jeffery P Antonissen CRNA is 1760494512.
  • Q: What are Jeffery P Antonissen CRNA's specialties?
  • A: Jeffery P Antonissen CRNA's specialties are Nurse Anesthetist, Certified Registered and different specialities.
  • Q: What is the medical license for Jeffery P Antonissen CRNA?
  • A: The medical license number for Jeffery P Antonissen CRNA is 113583 and issued in WI in USA.
  • Q: Where is Jeffery P Antonissen CRNA practice location?
  • A: Jeffery P Antonissen CRNA is practicing at 2845 Greenbrier Rd, Green Bay, WI 54311.
  • Q: How to contact Jeffery P Antonissen CRNA?
  • A: You can contact Jeffery P Antonissen CRNA via 920-288-3388.