Individual
MS. ALEXA M HONSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
MEMORIAL MEDICAL CENTER, INC, 1615 MAPLE LANE, ASHLAND, WI 54806
(715) 685-5500
(715) 682-4022
Mailing address
1615 MAPLE LANE, ASHLAND, WI 54806
(715) 685-5500
(715) 682-4022
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
167904-30
WI
363L00000X
Nurse Practitioner
6684-33
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
6684-33
WI
Other
Enumeration date
10/14/2015
Last updated
02/26/2018
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