Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Drift Away Anesthesia LLC

Organization Certified Registered Nurse Anesthetist · NPI 1093165094

Drift Away Anesthesia LLC is a Certified Registered Nurse Anesthetist in Madison, Wisconsin. Registered with an NPI since 2016.

In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1200 John Q Hammons Dr Ste 102
Madison, WI 53717-1967
Phone: (573) 686-5550
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X

Record details

NPI number1093165094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renee Carlson — Mbr · (573) 718-0902
NPI enumeratedJune 21, 2016
Last updated in NPPESApril 3, 2026
Certification dateApril 3, 2026
Mailing address1877 N Westwood Blvd, Poplar Bluff, MO 63901-2833

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