Individual
THERESA A. ASCHENBRENER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
6308 8TH AVE, KENOSHA, WI 53143-5031
(262) 656-2011
Mailing address
225 S EXECUTIVE DR, BROOKFIELD, WI 53005-4266
(262) 787-4026
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
100352
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
049493
CRNA RECERTIFICATION CARD
—
01
—
430050829
RAIL ROAD MEDICARE
—
05
—
43379100
—
WI
Enumeration date
12/13/2005
Last updated
02/09/2009
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