Provider Demographics
NPI:1225003429
Name:SCHWEER, LADONNA SUE (CRNA)
Entity Type:Individual
Prefix:
First Name:LADONNA
Middle Name:SUE
Last Name:SCHWEER
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1031 LABARGE RD
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:WI
Mailing Address - Zip Code:54016-7694
Mailing Address - Country:US
Mailing Address - Phone:715-952-7559
Mailing Address - Fax:
Practice Address - Street 1:130 SOUTH KNOWLES AVENUE
Practice Address - Street 2:ANESTHETISTS INC. OF WISCONSIN
Practice Address - City:NEW RICHMOND
Practice Address - State:WI
Practice Address - Zip Code:54017
Practice Address - Country:US
Practice Address - Phone:715-246-3018
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN32536367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN461043100Medicaid
WI44308600Medicaid
MNR09032Medicare UPIN
WI44308600Medicaid