Organization
ANGELA MATHIAS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA L MATHIAS CRNA (OWNER)
(920) 660-2341
Entity
Organization
Contact information
Practice address
501 DOCTORS CT, OSHKOSH, WI 54901-2025
(920) 236-3550
Mailing address
2701 PRAIRIE GARDEN TRL, GREEN BAY, WI 54313-3958
(920) 660-2341
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4836-33
WI
Other
Enumeration date
04/07/2014
Last updated
04/07/2014
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