Unknown Individual – Certified Registered Nurse Anesthetist, NPI 1932104668
Certified Registered Nurse Anesthetist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
400, East 10th Street, Interlaken West, Waconia, Carver County, Minnesota, 55387, United States
WACONIA, MN 553874552
Phone: (952) 442-9770
Fax: (952) 442-3620
Type: Mailing
Grant Regional Health Center, 507, South Monroe Street, Lancaster, Grant County, Wisconsin, 53813, United States
LANCASTER, WI 538132054
Phone: (608) 723-2143
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
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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 55387)
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