Individual
MARY C NOFFTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Mailing address
1836 SOUTH AVE, LA CROSSE, WI 54601-5429
(608) 782-7300
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
107942
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
4297
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44314800
—
WI
Enumeration date
06/13/2005
Last updated
11/03/2025
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