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Diane L Hartzog, CRNA
Anesthesiologist Assistant in Watertown, Wisconsin
NPI 1871538744

Diane L Hartzog is an Anesthesiologist Assistant based in Milwaukee, WI. Diane L Hartzog practices in Watertown, WI and has the professional credentials of CRNA. The NPI Number for Diane L Hartzog is 1871538744 and holds a License No. 78920030 (Wisconsin).

The current practice location address for Diane L Hartzog is 125 Hospital Drive, Watertown, WI and can be reached out via phone at 920-262-4450.

Location: 125 Hospital Drive, Watertown, WI, 53223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871538744
Provider Name
Diane L Hartzog
Credential
CRNA
Provider Entity Type
Individual
Gender
Female
Address
125 Hospital Drive, Watertown, WI, 53223
Phone Number
920-262-4450
Fax Number
Provider Enumeration Date
06/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43379900 05 WI
institution
Provider Business Practice Location Address Details
Address
125 Hospital Drive
City
Watertown
State
Wisconsin
Zip
53098
Phone Number
920-262-4450
Fax Number
person
Provider Business Mailing Address Details
Address
125 Hospital Drive
City
Watertown
State
Wisconsin
Zip
53098
Phone Number
920-262-4450
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Anesthesiologist Assistant
Speciality
-
Taxonomy
367H00000X
License No.
78920030 (Wisconsin)
Definition
An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
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