| Tanya Florence Waterbury, CRNA | |
|
1836 South Ave, La Crosse, WI 54601-5429 | |
| (608) 782-7300 | |
| Not Available |
| Full Name | Tanya Florence Waterbury |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 1836 South Ave, La Crosse, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972934180 | NPI | - | NPPES |
| 1972934180 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R 185512-8 (Minnesota) | Primary |
| 367500000X | Nurse Anesthetist, Certified Registered | 221949 (Wisconsin) | Secondary |
| Entity Name | Gundersen Clinic Ltd |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851343115 PECOS PAC ID: 9638082779 Enrollment ID: O20031106000139 |
| Entity Name | Tomah Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992970453 PECOS PAC ID: 6901897016 Enrollment ID: O20040519000123 |
| Entity Name | Vernon Memorial Healthcare Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497750921 PECOS PAC ID: 8325958416 Enrollment ID: O20050526000095 |
| Entity Name | Gundersen Lutheran Medical Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1225873458 PECOS PAC ID: 2163331414 Enrollment ID: O20130619000254 |
| Mailing Address | Practice Location Address |
|---|---|
| Tanya Florence Waterbury, CRNA 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 | Tanya Florence Waterbury, CRNA 1836 South Ave, La Crosse, WI 54601-5429 Ph: (608) 782-7300 |
Jessica E Thesing, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Grace M Muench, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Mary J Malesytcki, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Mr. Michael Joe Sanders, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Robyn Jo Davis, C.R.N.A. Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 | |
Ms. Jane A. Ringhand, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 700 West Ave S, La Crosse, WI 54601 Phone: 608-785-0940 | |
Mary C Nofftz, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1836 South Ave, La Crosse, WI 54601 Phone: 608-782-7300 |