Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1912219643
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
400 E 10TH ST
WACONIA, MN 553874552
Phone: (952) 442-9770
Fax: (952) 442-3621
Type: Mailing
404 S BRADLEY ST
WARREN, AR 716713459
Phone: (870) 226-3731
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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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 55387)
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