Anton P. Mentele, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Durand, WI
NPI 1669523239 · NPPES record last updated Sep 30, 2013
Key facts
- NPI
- 1669523239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 82923-030 (WI)
- Practice address
- 1200 Third Ave West
Durand, WI 54736 - Phone
- (715) 672-4211
- NPI assigned
- Jan 12, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82923-030 | WI | MD | Certified Registered Nurse Anesthetist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 82923-030 | WI | Yes |
Addresses
Primary practice location
1200 Third Ave West
Durand, WI 54736
Mailing address
1200 Third Ave West
Durand, WI 54736
Phone (715) 672-4211
Other providers in Durand, WI
- L & P Nyberg LLC
- Fae Babette Laforte
- Angela Lindstrom
- Paige Marsh
- McKenzie Lehnartz LLC
- Wayne J Miller
- Tony R Morris
- Kaitlyn Niebur
- Patriot Healthcare LLC
- Pepin County
All providers in Durand, WI · Certified Registered Nurse Anesthetist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.