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Mary C Phung, CRNA
Certified Registered Nurse Anesthetist in Beaver Dam, Wisconsin
NPI 1265841589

Mary C Phung is a Certified Registered Nurse Anesthetist based in Beaver Dam, WI. Mary C Phung practices in Beaver Dam, WI and has the professional credentials of CRNA. The NPI Number for Mary C Phung is 1265841589 and holds a License No. 5896 (Wisconsin).

The current practice location address for Mary C Phung is 707 S University Ave, Beaver Dam, WI and can be reached out via phone at 920-887-7181.

Location: 707 S University Ave, Beaver Dam, WI, 53916-3027
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265841589
Provider Name
Mary C Phung
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
707 S University Ave, Beaver Dam, WI, 53916-3027
Phone Number
920-887-7181
Fax Number
Provider Enumeration Date
08/12/2014
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1265841589 05 WI
institution
Provider Business Practice Location Address Details
Address
707 S University Ave
City
Beaver Dam
State
Wisconsin
Zip
53916-3027
Phone Number
920-887-7181
Fax Number
person
Provider Business Mailing Address Details
Address
707 S University Ave
City
Beaver Dam
State
Wisconsin
Zip
53916-3027
Phone Number
920-887-7181
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
5896 (Wisconsin)
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 resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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