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Individual

STEPHANIE ANN KAMSTRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3605
(920) 433-3589
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7210
(920) 445-7289

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
179425
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
134287
NATIONAL BOARD OF CERTIFICATION RECERTIFICATION FOR NURSE ANESTHETISTS
Enumeration date
07/15/2021
Last updated
02/06/2023
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