Individual
BARBARA ANN BISTRAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1 TAMPA GENERAL CIR, SUITE A327, TAMPA, FL 33606-3571
(813) 844-4396
(813) 844-4972
Mailing address
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226-3522
(414) 805-5951
(414) 805-4870
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
1757
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
145974030
WI
367500000X
Certified Registered Nurse Anesthetist
ARNP9264662
FL
367500000X
Certified Registered Nurse Anesthetist
R0901280
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
118435100
—
MN
01
—
120G9BI
BCBS
MN
05
—
309123600
—
FL
05
—
39-6105970
—
WI
01
—
G4533
BCBS OF FLORIDA
FL
Enumeration date
09/21/2006
Last updated
09/25/2017
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