Dorothy J Carl, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Hartford, WI

NPI 1922017086 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1922017086
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
47596-030 (WI)
Practice address
1032 E Sumner St
Hartford, WI 53027
Phone
(262) 673-2300
NPI assigned
Aug 7, 2006
Sex
Female
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

LicenseStateTypeSpecialty
516WIMDMedical Physician Assistant
47596-030WIMDCertified Registered Nurse Anesthetist
516-033WIMDCertified Registered Nurse Anesthetist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 47596-030 WI Yes
Certified Registered Nurse Anesthetist 367500000X 516-033 WI

Addresses

Primary practice location

1032 E Sumner St
Hartford, WI 53027

Mailing address

3301 W Forest Home Ave
Milwaukee, WI 53215-2843
Phone (414) 647-6326

Other names

  • Dorothy J Stapleton Doing business as

Other providers in Hartford, WI

All providers in Hartford, WI · Certified Registered Nurse Anesthetist in Wisconsin

Sources for this page

Verify at the official NPI Registry.