Individual
DAWN FIFAREK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
855 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-3444
Mailing address
855 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-3444
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
94387-030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045414
CRNA RECERTIFICATION CARD
—
Enumeration date
12/13/2005
Last updated
01/04/2022
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