Individual
OREST CARNEVALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
945 N 12TH ST, MILWAUKEE, WI 53233-1305
(414) 219-2000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 764-2356
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
141134-30
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
141134
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10077326
—
WI
Enumeration date
12/18/2011
Last updated
10/18/2023
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