Roxanne Brault
Individual provider Active NPI Certified Registered Nurse Anesthetist · Franklin, WI
NPI 1831537679 · NPPES record last updated Jun 13, 2013
Key facts
- NPI
- 1831537679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 67930-30 (WI)
- Practice address
- 7929 S 66TH St
Franklin, WI 53132-9281 - Phone
- (414) 425-2191
- NPI assigned
- Jun 13, 2013
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130724000884 | WI | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 6608017231 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67930-30 | WI | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Partners Services, S.C. | Current |
Accepting new patients |
Locations
2801 W Kinnickinnic River Pkwy
Ste 1030
Milwaukee, WI 53215
Phone (414) 649-5200
2801 W Kinnickinnic River Pkwy
Ste 1080
Milwaukee, WI 53215
Phone (414) 908-6506
88948 Box
Milwaukee, WI 53288
2424 S 90th St
Ste 418
West Allis, WI 53227
Phone (262) 970-7825
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 67930-30 | WI | Yes |
Addresses
Primary practice location
7929 S 66TH St
Franklin, WI 53132-9281
Mailing address
7929 S 66TH St
Franklin, WI 53132-9281
Phone (414) 425-2191
Other providers in Franklin, WI
- Triliyah Bowie
- Anjanette Farrar Boyd
- Jenna Brandenburg
- Lindsey Brannan
- Brantley & Young Health Care
- Brave Changes, LLC
- Edward Thomas Breecher
- Brenwood Park Senior Living, Inc.
- Brooke Olivia Briesemeister
- Kate Bromley
All providers in Franklin, 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 Jun 13, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.