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Individual

PATRICIA HUSTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
5000 MEMORIAL DR, TWO RIVERS, WI 54241-3900
(920) 686-5734
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041-169888
IL
367500000X
Certified Registered Nurse Anesthetist
209-003417
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
3392
WI

Other

Enumeration date
01/22/2007
Last updated
12/03/2021
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