Individual
ANDREA C HOLYSZKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6495 S 27TH ST, FRANKLIN, WI 53132-8034
(414) 574-0253
Mailing address
1275 RIDGE RD, WAUKESHA, WI 53186-1426
(262) 271-7026
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
193840
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100083159
—
WI
Enumeration date
10/02/2018
Last updated
07/30/2024
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