Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1497704019
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
10115, Hillside Lane West, Minnetonka, Hennepin County, Minnesota, 55305, United States
MINNETONKA, MN 553052623
Phone: (952) 545-0637
Mailing address matches the actual address.
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 55305)
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