Individual
ALEXIS RUPP
Active
Individual
ALEXIS RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
RN 18159-9
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA 1993
MN
Other
Enumeration date
11/01/2016
Last updated
12/11/2016
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