Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1508806530
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3564, Willow Beach Street Southwest, Spring Lake, Prior Lake, Scott County, Minnesota, 55372, United States
PRIOR LAKE, MN 553722355
Phone: (952) 447-8207
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 55372)
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