Provider Demographics
NPI:1316818156
Name:RISHAVY, COURTNEY (APRN, CRNA, DNP)
Entity type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:RISHAVY
Suffix:
Gender:F
Credentials:APRN, CRNA, DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4521 BRADFORD LN NW
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55901-4116
Mailing Address - Country:US
Mailing Address - Phone:507-319-8773
Mailing Address - Fax:
Practice Address - Street 1:4521 BRADFORD LN NW
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55901-4116
Practice Address - Country:US
Practice Address - Phone:507-319-8773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-15
Last Update Date:2025-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2328117207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology