National Provider Identifier Database

DIANE L HARTZOG, CRNA – NPI #1871538744
Anesthesiologist Assistant

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.


Contact Information

DIANE L HARTZOG, CRNA
125 HOSPITAL DRIVE
WATERTOWN, WI53098
Phone: 920-262-4450
Fax:
Website:
Specialty Taxonomy Code
* Anesthesiologist Assistant 367H00000X

* Indicates primary specialty

NPI Profile & details for DIANE L HARTZOG

NPI Number 1871538744
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 06/17/2006
Last updated 03/27/2008 - About 18 years ago
Sole proprietor1 No
Identifiers
  • WI License #: 78920030
  • WI Medicaid: 43379900
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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