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Stephen Larson, CRNA
Certified Registered Nurse Anesthetist in Antigo, Wisconsin
NPI 1568465201

Stephen Larson is a Certified Registered Nurse Anesthetist based in Winona, WI. Stephen Larson practices in Antigo, WI and has the professional credentials of CRNA. The NPI Number for Stephen Larson is 1568465201 and holds a License No. R-081276-4 (Wisconsin).

The current practice location address for Stephen Larson is 112 E 5Th Ave, Antigo, WI and can be reached out via phone at 715-623-2331. You can also correspond with Stephen Larson through the mailing address at 1752 EDGEWOOD RD, WINONA, MN - 55987-2149 (mailing address contact number: ).

Location: 112 E 5Th Ave, Antigo, WI, 55987-2149
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1568465201
Provider Name
Stephen Larson
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
112 E 5Th Ave, Antigo, WI, 55987-2149
Phone Number
715-623-2331
Fax Number
Provider Enumeration Date
05/26/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1882 01 IBAX
136542800 05 MN
52D0662095 01 CLIA
43293000 05 WI
institution
Provider Business Practice Location Address Details
Address
112 E 5Th Ave
City
Antigo
State
Wisconsin
Zip
54409-2710
Phone Number
715-623-2331
Fax Number
person
Provider Business Mailing Address Details
Address
112 E 5Th Ave
City
Antigo
State
Wisconsin
Zip
54409-2710
Phone Number
715-623-2331
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.
R-081276-4 (Minnesota)
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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