Organization
KRISTEN M ENGSTROM CRNA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN M ENGSTROM CRNA (OWNER)
(402) 214-8946
Entity
Organization
Contact information
Practice address
658 N MAIN ST, ASHLAND, OR 97520-1710
(541) 482-5518
(952) 442-3620
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
06/19/2017
Last updated
06/19/2017
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