Individual
STEPHEN P FERNAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CRNA
Contact information
Practice address
1625 N CAMPBELL AVE, TUCSON, AZ 85719-4330
(520) 694-0111
Mailing address
6635 FAWN PATH LN, CASTLE PINES, CO 80108-9623
(630) 809-9321
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041313248
IL
367500000X
Certified Registered Nurse Anesthetist
141905030
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
209-005622
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44316900
—
WI
Enumeration date
05/16/2006
Last updated
01/05/2025
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