Individual
NATHAN JEFFREY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CRNA
Contact information
Practice address
111 17TH AVE E, ALEXANDRIA, MN 56308-5273
(320) 762-1511
Mailing address
1500 IRVING ST, ALEXANDRIA, MN 56308-0046
(320) 762-6084
(320) 762-6454
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2139115
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
145429
MN
Other
Enumeration date
12/05/2022
Last updated
10/21/2024
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