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Ty D Thornock, CRNA
Certified Registered Nurse Anesthetist in Shawano, Wisconsin
NPI 1720098197

Ty D Thornock is a Certified Registered Nurse Anesthetist based in Appleton, WI. Ty D Thornock practices in Shawano, WI and has the professional credentials of CRNA. The NPI Number for Ty D Thornock is 1720098197 and holds a License No. 2685-033 (Wisconsin).

The current practice location address for Ty D Thornock is 100 County Road B, Shawano, WI and can be reached out via phone at 715-524-2161.

Location: 100 County Road B, Shawano, WI, 54911-5794
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1720098197
Provider Name
Ty D Thornock
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
100 County Road B, Shawano, WI, 54911-5794
Phone Number
715-524-2161
Fax Number
Provider Enumeration Date
08/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43382500 05 WI
institution
Provider Business Practice Location Address Details
Address
100 County Road B
City
Shawano
State
Wisconsin
Zip
54166-7072
Phone Number
715-524-2161
Fax Number
person
Provider Business Mailing Address Details
Address
100 County Road B
City
Shawano
State
Wisconsin
Zip
54166-7072
Phone Number
715-524-2161
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.
2685-033 (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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