Individual
TONIA T WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
975 PORT WASHINGTON RD, GRAFTON, WI 53024-9201
(262) 329-1000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
148421030
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
3049
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44331700
—
WI
Enumeration date
07/07/2006
Last updated
02/13/2024
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