Individual provider · Type 1 NPI

Owen Adolphsen

Certified Registered Nurse Anesthetist · Petoskey, MI

NPI number 1063241230 Active

Practice location

416 Connable Ave
Petoskey, MI 49770-2212

Fax (231) 348-2031

Mailing address

602 Jackson St
Petoskey, MI 49770-2220

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000XRN757422 (PA)
Certified Registered Nurse Anesthetist Primary 367500000X4704351318 (MI)

Certified Registered Nurse Anesthetist: (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 creden…

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About NPI 1063241230

Owen Adolphsen's National Provider Identifier is 1063241230, issued on Jul 29, 2024. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Petoskey, MI. The record was last updated on Jun 1, 2026.