Individual
JOSHUA KENDRICK EZELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNP, CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
103647
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
868190
WI
367500000X
Certified Registered Nurse Anesthetist
901423
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03236349
—
MS
Enumeration date
11/16/2016
Last updated
04/01/2026
Update your record
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