Dwight W Perkins, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Stanley, WI
NPI 1710967484 · NPPES record last updated May 24, 2010
Key facts
- NPI
- 1710967484
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 246-033 (WI)
- Practice address
- 1120 Pine St
Stanley, WI 54768-1297 - Phone
- (715) 644-5571
- Fax
- (715) 644-6220
- NPI assigned
- Jan 19, 2006
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 246-033 | WI | MD | Certified Registered Nurse Anesthetist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 246-033 | WI | Yes |
Addresses
Primary practice location
1120 Pine St
Stanley, WI 54768-1297
Mailing address
1120 Pine St
Stanley, WI 54768-1297
Phone (715) 644-5571
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 43302600 | Medicaid | WI |
Other providers in Stanley, WI
- Betsy Luxford
- Karyn Nitz
- Laurie Lee Norstedt
- Northwoods Family Eyecare, LLC
- Alzada E Oemig
- Ryan Pollert
- Ponick Chiropractic
- Todd Ponick
- Steven Seiberling
- Shopko Stores Operating Co LLC
All providers in Stanley, 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 May 24, 2010. 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.