| NPI | 1073305496 |
|---|---|
| Doing Business As | AVERA ST MARYS HOSPITAL ER CRNA |
| Entity Type | Organization |
| Authorized Contact | SHANTEL KREBS President/CEO 605-351-5916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2025-05-21 |
| Last Update Date | 2025-08-18 |