Individual
ELIZABETH WITTENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
40 INDUSTRIAL PARK RD, PLYMOUTH, MA 02360-4884
(508) 746-8600
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3630
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
130544
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA0488
BLUE CROSS OF MA
MA
Enumeration date
04/10/2006
Last updated
04/28/2008
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