NPI 1053752782

Kristoffer L Hagen, CRNA

Practitioner Certified Registered Nurse Anesthetist Oshkosh, WI

Practice location

Address: 500 S Oakwood Rd, Oshkosh, WI 54904-7944
Phone: (920) 223-2000
Mailing address: 3420 Jackson St Suite E, Oshkosh, WI 54901-8144

Registered specialties

Certified Registered Nurse Anesthetist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 367500000X Licence 160648-30 (WI)

Other Nurse Anesthetist, Certified Registered providers in Wisconsin →

Registry record

NPI: 1053752782
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Jul 2013
Record last updated: 10 Jul 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.