Individual provider · Type 1 NPI

Ty D. Thornock, CRNA

Certified Registered Nurse Anesthetist · Shawano, WI

NPI number 1720098197 Active

Practice location

100 County Road B
Shawano, WI 54166-7072

Mailing address

122 E College Ave
Appleton, WI 54911-5794

Other practice locations

  • 1405 Mill St, New London, WI 54961-2155 · (920) 531-2000

Specialties and licenses

TaxonomyCodeLicense
Certified Registered Nurse Anesthetist Primary 367500000X2685-033 (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 1720098197

Ty D. Thornock, CRNA's National Provider Identifier is 1720098197, issued on Aug 9, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in Shawano, WI. The record was last updated on Mar 17, 2018.