Individual
MRS. ANGELA RENAE MUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS CRNA
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 467-3393
Mailing address
2536 TOURNAMENT PLAYERS CIR N, BLAINE, MN 55449-5667
(763) 572-3922
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R-118044-0
MN
Other
Enumeration date
07/13/2006
Last updated
07/08/2007
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