Organization · Type 2 NPI

Park Nicollet Methodist Hospital

Certified Registered Nurse Anesthetist · St. Louis Park, MN

NPI number 1083622047 Active

Practice location

6500 Excelsior Blvd
St. Louis Park, MN 55426

Fax (952) 993-1980

Mailing address

14700 28th Ave N, Suite 20
Plymouth, MN 55447

Specialties and licenses

TaxonomyCodeLicense
Anesthesiology Physician 207L00000XNone listed
Certified Registered Nurse Anesthetist Primary 367500000XNone listed

Certified Registered Nurse Anesthetist: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of creden…

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About NPI 1083622047

Park Nicollet Methodist Hospital's National Provider Identifier is 1083622047, issued on Aug 4, 2006. The primary taxonomy on file is Certified Registered Nurse Anesthetist (367500000X), and the practice location is in St. Louis Park, MN. The record was last updated on Oct 25, 2021.