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
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