Provider Demographics
NPI:1619949179
Name:SENKLER, ELISABETH L (CRNA)
Entity Type:Individual
Prefix:
First Name:ELISABETH
Middle Name:L
Last Name:SENKLER
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:ANESTHESIA CARE GROUP PC
Mailing Address - Street 2:195 MCGREGOR ST., STE. 308
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03102
Mailing Address - Country:US
Mailing Address - Phone:603-647-9325
Mailing Address - Fax:603-647-2453
Practice Address - Street 1:CATHOLIC MEDICAL CENTER
Practice Address - Street 2:100 MCGREGOR ST.
Practice Address - City:MANCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03102
Practice Address - Country:US
Practice Address - Phone:603-668-3545
Practice Address - Fax:603-663-2006
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH050169-23-11367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH046883OtherCRNA
NH050169-23-11OtherARNP
NHRE6736Medicare ID - Type Unspecified