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Individual

VIVIAN M KRANZLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R12303
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
12649
ND
01
142337
UCARE #
ND
01
2000768
MEDICA INNOVIS #
ND
01
2000769
MEDICA FARGO #
ND
01
3586
NDBS #
ND
01
56511KR
MNBS #
ND
05
978243500
ND
01
DA9011015551
PREF 1 #
ND
01
HP38594
HEALTHPARTNERS #
ND
Enumeration date
06/08/2006
Last updated
06/12/2012
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