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Jeffery P Antonissen, CRNA
Certified Registered Nurse Anesthetist in Green Bay, Wisconsin
NPI 1760494512

Jeffery P Antonissen is a Certified Registered Nurse Anesthetist based in Green Bay, WI. Jeffery P Antonissen practices in Green Bay, WI and has the professional credentials of CRNA. The NPI Number for Jeffery P Antonissen is 1760494512 and holds a License No. 113583 (Wisconsin).

The current practice location address for Jeffery P Antonissen is 2845 Greenbrier Rd, Green Bay, WI and can be reached out via phone at 920-288-3388 and via fax at 920-288-3370.

Location: 2845 Greenbrier Rd, Green Bay, WI, 54311-8320
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760494512
Provider Name
Jeffery P Antonissen
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
2845 Greenbrier Rd, Green Bay, WI, 54311-8320
Phone Number
920-288-3388
Fax Number
920-288-3370
Provider Enumeration Date
08/12/2006
Last Update Date
05/18/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
104521249 05 MI
104521230 05 MI
43399100 05 WI
P00033987 01 WI RAILROAD
institution
Provider Business Practice Location Address Details
Address
2845 Greenbrier Rd
City
Green Bay
State
Wisconsin
Zip
54311-6519
Phone Number
920-288-3388
Fax Number
920-288-3370
person
Provider Business Mailing Address Details
Address
2845 Greenbrier Rd
City
Green Bay
State
Wisconsin
Zip
54311-6519
Phone Number
920-288-3388
Fax Number
920-288-3370
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
113583 (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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