Individual
MAYKA L RAMBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP-CRNA
Contact information
Practice address
1405 MILL ST, NEW LONDON, WI 54961-2155
(920) 534-2000
(920) 531-2098
Mailing address
122 E COLLEGE AVE, APPLETON, WI 54911-5794
(920) 996-3245
(920) 830-5910
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
194168
AZ
367500000X
Certified Registered Nurse Anesthetist
Primary
9904
WI
367500000X
Certified Registered Nurse Anesthetist
CRNA1430
AZ
Other
Enumeration date
07/04/2017
Last updated
02/25/2020
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