Individual
MICHELLE BAINBRIDGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
507 S MONROE ST, LANCASTER, WI 53813-2054
(608) 723-2143
Mailing address
507 S MONROE ST, LANCASTER, WI 53813-2054
(608) 723-2143
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
110438-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430047952
RAILROAD MEDICARE
WI
05
—
43379000
—
WI
Enumeration date
06/20/2005
Last updated
01/25/2023
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