| NPI | 1194224303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA BERUBE CEO 612-616-7731 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 1731) |
| Enumeration Date | 2018-02-03 |
| Last Update Date | 2018-06-21 |