Active NPI
Daul Anesthesia Inc
- Certified Registered Nurse Anesthetist
- Sherwood, WI
National Provider Identifier
1194079210
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 94321-30
- Legal business name
- DAUL ANESTHESIA INC
- Practice address
- W4855 Mustang Dr
Sherwood, WI 54169-9505 - Phone
- (920) 277-4358
- NPI assigned
- Oct 29, 2012
- Organization subpart
- No
National Provider Directory
National Provider DirectoryNPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dennis D Daul, CRNA
- Title
- President
- Phone
- (920) 277-4358
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 94321-30 | WI | Primary |
Addresses
Primary practice location
W4855 Mustang Dr
Sherwood, WI 54169-9505
Mailing address
PO Box 2123
Appleton, WI 54912-2123
Phone (920) 451-8142
NPI Registry JSON
{
"created_epoch": "1351468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1351468800000",
"number": "1194079210",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2123",
"city": "APPLETON",
"state": "WI",
"postal_code": "549122123",
"telephone_number": "920-451-8142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "W4855 MUSTANG DR",
"city": "SHERWOOD",
"state": "WI",
"postal_code": "541699505",
"telephone_number": "920-277-4358"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DAUL ANESTHESIA INC",
"organizational_subpart": "NO",
"enumeration_date": "2012-10-29",
"last_updated": "2012-10-29",
"status": "A",
"authorized_official_last_name": "DAUL",
"authorized_official_first_name": "DENNIS",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "920-277-4358",
"authorized_official_credential": "CRNA"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "WI",
"license": "94321-30",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherwood, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.