MRS. WENDY AMANDA GRAVELLE


Address: 415 Jefferson St North, Wadena, MN 56482
Phone: 2186313510

MRS. WENDY AMANDA GRAVELLE (NPI# 1306948245) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306948245
Entity Type Individual
Full Name MRS. WENDY AMANDA GRAVELLE
Other Name MISS WENDY AMANDA MEYER
Credential CRNA
Practice Address 415 Jefferson St North
Wadena
MN 56482
Mailing Address 13436 County Road 101
Wadena
MN 56482
Practice Telephone 2186313510
Practice Fax Number 2186317496
Mailing Telephone 2186325989
Enumeration Date 2006-09-01
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered R1540705 MN Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 415 JEFFERSON ST NORTH
City WADENA
State MN
Zip Code 56482

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013908961 Vickie L Dennis Obstetrics & Gynecology 415 Jefferson St North, Wadena, MN 56482-1296 2005-10-31
1760721567 Adam D Weichelt Physician Assistant 415 Jefferson St North, Tri-county Health Care, Wadena, MN 56482-1296 2013-02-14
1134464324 Greg E Wiegand Physician Assistant 415 Jefferson St North, Tri-county Hospital, Wadena, MN 56482-1296 2012-11-29
1003863176 Bonnie J Bartos Physician Assistant 415 Jefferson St North, Tri-county Health Care, Wadena, MN 56482-1296 2006-05-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1033633904 Hadc Wadena, LLC Assisted Living Facility 110 Hemlock Ave. Nw, Wadena, MN 56482 2017-08-01
1457665986 Jill M Wilkens Physician Assistant 4 Deerwood Ave, Wadena, MN 56482 2010-07-26
1053525931 Gerald Henry Gammell Psychiatry & Neurology 240 Shady Lane Drive, Wadena, MN 56482 2007-05-09
1336286228 Wayne Calvin Howard Dentist 122 Sw Colfax, Wadena, MN 56482 2007-01-31
1699839399 Peter W Finke Physical Therapist 311jefferson St. North, Tri County Hosptial, Wadena, MN 56482 2006-12-20
1902874480 Corey H Tabbert Optometrist 222 Se First Street, Wadena, MN 56482 2006-03-09
1447333547 Woodland Dental Inc Dentist 206 1st St Se, Wadena, MN 56482 2006-10-23
1255312013 Alfredmy G Chessor General Practice 4 Deerwood Ave Nw, Wadena, MN 56482 2005-11-09
1902961048 Walmart Inc. Durable Medical Equipment & Medical Supplies 100 Juniper Ave, Wadena, MN 56482-1041 2006-12-27
1609474436 Danelle Mary Vandermay Pharmacist 100 Juniper Ave, Wadena, MN 56482-1041 2020-10-14
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Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1679655229 Rachael Lynn Spear Nurse Anesthetist, Certified Registered 415 Jefferson St N, Wadena, MN 58482-1264 2006-10-20
1871511410 Lee Allen Ellingson Nurse Anesthetist, Certified Registered 415 Jefferson St N, Wadena, MN 56482-1264 2006-07-18

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1285241364 Jl Anesthesia, LLC Nurse Anesthetist, Certified Registered 13359 Isle Dr Ste 1, Baxter, MN 56425-2223 2020-09-23
1932715679 Kara Biscobing Nurse Anesthetist, Certified Registered M Health Fairview Ummc East Bank 3-307, 500 Harvard Street, Minneapolis, MN 55455 2020-09-18
1952916165 Benjamin Thomas Garbow Nurse Anesthetist, Certified Registered 14700 28th Avenue North, Plymouth, MN 55447 2020-09-14
1699306100 Westpacific Westpac Anesthesia-anesthesia Consultants of Minnesot Nurse Anesthetist, Certified Registered 9825 Hospital Dr Ste 203, Maple Grove, MN 55369-4772 2020-02-03
1689211443 Siripa Min Nurse Anesthetist, Certified Registered 640 Jackson Street Mail Stop 11503, St. Paul, MN 55101 2019-11-28
1952946501 Wyn Anesthesia, LLC Nurse Anesthetist, Certified Registered 991 Sibley Memorial Hwy Ste 202, Saint Paul, MN 55118-5116 2019-11-07
1821553520 Alan Melvin Hoeper Nurse Anesthetist, Certified Registered Centracare Clinic Anesthesiology, 3701 12th St N, Suite 202, St. Cloud, MN 56303 2019-02-06
1154894202 Amy Elizabeth Engstrom Nurse Anesthetist, Certified Registered 1411 Premier Dr, Mankato, MN 56001-6076 2019-01-10
1215410311 Hali Jean Haukos Nurse Anesthetist, Certified Registered 640 Jackson St - Mail Stop 13901c, Saint Paul, MN 55101-2502 2018-09-13
1154814580 Ams Minn Pllc Nurse Anesthetist, Certified Registered 13601 80th Cir N Ste 100, Maple Grove, MN 55369-8906 2018-06-11
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Competitor

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City WADENA
Zip Code 56482

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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