Provider Demographics
NPI:1598727059
Name:MAKOWSKI, PATRICIA ANN (MS, CRNA)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:ANN
Last Name:MAKOWSKI
Suffix:
Gender:F
Credentials:MS, CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:5245 NEAL AVE N
Mailing Address - Street 2:
Mailing Address - City:STILLWATER
Mailing Address - State:MN
Mailing Address - Zip Code:55082-2112
Mailing Address - Country:US
Mailing Address - Phone:651-430-2676
Mailing Address - Fax:651-430-1039
Practice Address - Street 1:5245 NEAL AVE N
Practice Address - Street 2:
Practice Address - City:STILLWATER
Practice Address - State:MN
Practice Address - Zip Code:55082-2112
Practice Address - Country:US
Practice Address - Phone:651-430-2676
Practice Address - Fax:651-430-1039
Is Sole Proprietor?:No
Enumeration Date:2006-04-03
Last Update Date:2015-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN033432367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered