Individual
DOLLY M HAKANEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 433-0111
Mailing address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 433-0111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
129204
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
1831
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046382
CRNA RECERTIFICATION CARD
—
05
—
10417016
—
MI
05
—
43385000
—
WI
Enumeration date
12/15/2005
Last updated
09/13/2024
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