Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1801842745
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Park Av, 701, Park Avenue South, Minneapolis, Hennepin County, Minnesota, 55415, United States
MINNEAPOLIS, MN 554151623
Phone: (612) 873-3152
Fax: (612) 904-4218
Type: Location
16th Avenue, Burnsville, Dakota County, Minnesota, 55337, United States
BURNSVILLE, MN 55337
Phone: (952) 890-0366
Type: Mailing
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 55415)
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