Individual
SANDRA L. ENGEMANN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
1506 S. ONEIDA ST., APPLETON, WI 54915
(920) 433-3500
Mailing address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 433-3500
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
046300
CRNA RECERTIFICATION CARD
—
Enumeration date
12/13/2005
Last updated
07/08/2007
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