Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1104915149
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
7650 435TH AVE
WATERVILLE, MN 560961217
Phone: (507) 267-4223
Type: Mailing
200, State Avenue, Faribault, Rice County, Minnesota, 55021, United States
FARIBAULT, MN 550216339
Phone: (504) 334-6451
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56096)
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