Provider Demographics
NPI:1811123755
Name:KUNDE, ANNA DENISE (CRNA)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:DENISE
Last Name:KUNDE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:D
Other - Last Name:ADELMEYER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:7530 MIDTOWN RD APT 109
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53719-3460
Mailing Address - Country:US
Mailing Address - Phone:920-979-3251
Mailing Address - Fax:
Practice Address - Street 1:7530 MIDTOWN RD APT 109
Practice Address - Street 2:
Practice Address - City:MADISON
Practice Address - State:WI
Practice Address - Zip Code:53719-3460
Practice Address - Country:US
Practice Address - Phone:920-979-3251
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-05
Last Update Date:2015-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI159254030163W00000X
WI159254367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse