Organization
NOVUS ANESTHESIA OF WISCONSIN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARRIE VAUGHAN (PRACTICE MANAGER)
(404) 419-0237
Entity
Organization
Contact information
Practice address
900 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6122
(404) 419-0230
Mailing address
PO BOX 12766, PENSACOLA, FL 32591-2766
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
04/21/2021
Last updated
02/23/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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