| NPI | 1306840350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES G VANBOMMEL Anesthesia Provider/ Owner Vb Anest 920-921-2379 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI 74714030) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 126) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: WI 34013) | |
| Enumeration Date | 2005-06-08 |
| Last Update Date | 2008-07-31 |