Organization
WHITE ANESTHESIA SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA ANNE WHITE (PRESIDENT)
(608) 236-4533
Entity
Organization
Contact information
Practice address
1200 JOHN Q HAMMONS DR, MADISON, WI 53717-1959
(608) 827-5504
Mailing address
311 GLENTHISTLE CT, MADISON, WI 53705-1165
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
108770-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43335400
—
WI
Enumeration date
06/17/2008
Last updated
09/11/2008
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