Individual
MRS. MICHELLE L HENRICKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA, APNP
Contact information
Practice address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Mailing address
1000 N OAK AVE, MARSHFIELD, WI 54449-5703
(715) 387-5511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
073616
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
133299
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44347200
—
WI
Enumeration date
05/25/2006
Last updated
02/15/2024
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