Individual
ELLEN K. RESNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
13290
WI
367500000X
Certified Registered Nurse Anesthetist
209-000871
IL
367500000X
Certified Registered Nurse Anesthetist
RN2356046
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100222241
—
WI
01
—
209-000871
IL STATE LIC
IL
01
—
430055241
RAILROAD MEDICARE PIN
IL
Enumeration date
03/22/2007
Last updated
03/13/2025
Update your record
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