Individual
TIFFANY ANN SCHAVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301
(920) 433-0111
(920) 433-8765
Mailing address
PO BOX 13508, GREEN BAY, WI 54307-3508
(920) 433-0111
(920) 433-8765
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
152151-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44345600
—
WI
Enumeration date
09/22/2006
Last updated
12/17/2021
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