Ansari, Mary Y.

Ansari, Mary Y. is an individual health care provider with primary practice located at 6308 8Th Ave , Kenosha WI 53143-5031. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Nursing Service Providers / Registered Nurse is her primary health care specialty. Ansari, Mary Y. can be contacted via phone (262) 656-2011.

Contact Information

Primary practice address
6308 8Th Ave Kenosha WI 53143-5031
Phone: (262) 656-2011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 72323 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 026133 Wisconsin

Profile Details

NPI number 1700074440
LBN Legal business name Ansari, Mary Y.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2007
Last updated Feb 9th, 2009 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700074440 NPPES
Other P00480380 RAIL ROAD MEDICARE
MEDICAID 43399500 RAIL ROAD MEDICARE

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