Most Relevant Information
Provider Data
| NPI Number: | 1003809104 |
| Provider Name: | KIMBERLY S MERTENS CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 115803 |
Most Important Dates
| Enumeration Date: | 08/24/2005 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1221 WHIPPLE ST
EAU CLAIRE
WI
547035270
Practice Location Phone/Fax
| Phone: | 7158383311 |
| Fax: |
Provider Mailing Location
2107 HEIGHTS DR
EAU CLAIRE
WI
547016130
Provider Mailing Phone/Fax
| Phone: | 7158348721 |
| Fax: | 7158343087 |