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Mark R. Dvorak, CRNA
Nurse Practitioner in Lake Geneva, Wisconsin
NPI 1699750661

Mark R. Dvorak is a Nurse Practitioner based in Lake Geneva, WI. Mark R. Dvorak practices in Lake Geneva, WI and has the professional credentials of CRNA. The NPI Number for Mark R. Dvorak is 1699750661 and holds a License No. 104604-030 (Wisconsin).

The current practice location address for Mark R. Dvorak is N2950 State Road 67, Lake Geneva, WI and can be reached out via phone at 262-245-4990 and via fax at 262-245-2248.

Location: N2950 State Road 67, Lake Geneva, WI, 53147-2655
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1699750661
Provider Name
Mark R. Dvorak
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
N2950 State Road 67, Lake Geneva, WI, 53147-2655
Phone Number
262-245-4990
Fax Number
262-245-2248
Provider Enumeration Date
12/13/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1699750661 05 WI
43372600 05 WI
DVORAMAR 01 WI MERCYCARE INSURANCE
430067408 01 RAIL ROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
N2950 State Road 67
City
Lake Geneva
State
Wisconsin
Zip
53147-2655
Phone Number
262-245-4990
Fax Number
262-245-2248
person
Provider Business Mailing Address Details
Address
N2950 State Road 67
City
Lake Geneva
State
Wisconsin
Zip
53147-2655
Phone Number
262-245-4990
Fax Number
262-245-2248
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
-
Taxonomy
363L00000X
License No.
1149-33 (Wisconsin)
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
104604-030 (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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