Individual provider · Type 1 NPI

Thomas Boostrom, CRNA

Certified Registered Nurse Anesthetist · Wausau, WI

NPI number 1164773685 Active

Practice location

800 N 1st St
Wausau, WI 54403-4754

Mailing address

112 Jefferson St
West Union, IA 52175-1022

Other practice locations

  • 2251 N Shore Dr, Rhinelander, WI 54501-6710 · (715) 361-2000
  • 112 Jefferson St, West Union, IA 52175-1022 · (563) 422-3817

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000XD152469 (IA)
Certified Registered Nurse Anesthetist 367500000X1234 (WI)

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 1164773685

Thomas Boostrom, CRNA's National Provider Identifier is 1164773685, issued on Sep 24, 2012. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Wausau, WI. The record was last updated on Mar 31, 2020.