Individual provider · NPI-1
Shanna R Badje, CRNA
Nurse Anesthetist, Certified Registered · Madison, WI
NPI number1174099634
StatusActive
Last updated in NPPESJan 13, 2025
Details
- NPI
- 1174099634
- Entity type
- Individual (NPI-1)
- Name
- Shanna R Badje
- Credential
- CRNA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2018
- Certification date
- Jan 13, 2025
- Last updated
- Jan 13, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 8923 | WI | Yes |
Other names
- Shanna Popp (Former Name)
Practice location
600 Highland AveMadison, WI 53792-4123
Phone 608-263-8100
Mailing address
3809 Cliffside Dr Apt 8La Crosse, WI 54601-8337
Phone 262-749-0914
Other practice locations
425 Pine Ridge Blvd Ste 211
Wausau, WI 54401-4123
Wausau, WI 54401-4123
Phone 715-845-5505
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