Provider Demographics
NPI:1871529263
Name:STYVE, IONE KAY (CRNA)
Entity type:Individual
Prefix:
First Name:IONE
Middle Name:KAY
Last Name:STYVE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 65TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55904-8609
Mailing Address - Country:US
Mailing Address - Phone:507-282-4961
Mailing Address - Fax:
Practice Address - Street 1:855 MANKATO AVE
Practice Address - Street 2:COMMUNITY MEMORIAL HOSPITAL
Practice Address - City:WINONA
Practice Address - State:MN
Practice Address - Zip Code:55987-5377
Practice Address - Country:US
Practice Address - Phone:507-457-4484
Practice Address - Fax:507-457-4160
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN029025367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered