Ms Mary Clare Nordahl, CRNA - Nurse Anesthetist, Certified Registered in Black River Falls, WI

Ms Mary Clare Nordahl, CRNA is a Nurse Anesthetist, Certified Registered based in Black River Falls, Wisconsin. Ms Mary Clare Nordahl is licensed to practice in Wisconsin (license number 71871) and her current practice location is 711 W Adams St, Black River Falls, Wisconsin. She can be reached at her office (for appointments etc.) via phone at (715) 284-5361.

NPI number for Ms Mary Clare Nordahl is 1447270681 and her current mailing address is 1212 Harrison St, Black River Falls, Wisconsin. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1447270681.

Contact Information

Ms Mary Clare Nordahl, CRNA
711 W Adams St,
Black River Falls, WI 54615-9108
(715) 284-5361
(715) 284-7166



Provider's Profile

Full NameMs Mary Clare Nordahl
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location711 W Adams St, Black River Falls, Wisconsin
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1447270681
  • Provider Enumeration Date: 07/20/2006
  • Last Update Date: 07/09/2007

Medical Identifiers

Medical identifiers for Ms Mary Clare Nordahl such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447270681NPI-NPPES
71871OtherWIRN LICENSE
37187OtherAANA REGISTRATION
1224OtherWIAPNP REGISTRATION
0002OtherWISEQUENCE NUMBER
43352400MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered 71871 (Wisconsin)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Mary Clare Nordahl is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ms Mary Clare Nordahl, CRNA
1212 Harrison St,
Black River Falls, WI 54615-1906

Ph: (715) 284-9691
Ms Mary Clare Nordahl, CRNA
711 W Adams St,
Black River Falls, WI 54615-9108

Ph: (715) 284-5361

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› Verified 8 days ago


Nurse Anesthetist, Certified Registered Nurses in Black River Falls, WI

Mr. James Earl Carroll, CRNA, APNP
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 711 W Adams St, C/o Anesthesia Department, Black River Falls, WI 54615
Phone: 715-284-5361    Fax: 715-284-7166

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