| NPI | 1497996532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINETTE K ANDERSON Credentialing COO Rdinator 612-871-7639 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2009-03-19 |
| Last Update Date | 2009-03-19 |