Individual
JAYNE EBERHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2855 CAMPUS DR, PLYMOUTH, MN 55441-2649
(763) 577-7000
Mailing address
572 JANSEN AVE SE, BUFFALO, MN 55313-4625
(763) 477-4554
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R117257-1
MN
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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