Individual
ALLISON NIERODE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
500 S OAKWOOD RD, OSHKOSH, WI 54904-7944
(920) 223-1983
Mailing address
720 W NEW YORK AVE, OSHKOSH, WI 54901-3638
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
128393
WI
390200000X
Student in an Organized Health Care Education/Training Program
219545-30
WI
Other
Enumeration date
06/10/2020
Last updated
12/09/2020
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