Individual
CYNTHIA J MARTINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
8990 SPRINGBROOK DR NW, STE 250, COON RAPIDS, MN 55433-5850
(763) 398-0099
(763) 398-0124
Mailing address
339 WILDWOOD AVE, BIRCHWOOD, MN 55110-1620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 106142-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
490S5MA
BCBSMN
MN
05
—
879542800
—
MN
Enumeration date
08/16/2005
Last updated
05/15/2008
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