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Individual

SUMMER FLANDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(952) 992-5292
Mailing address
719 LOMA DR, HERMOSA BEACH, CA 90254-4656
(310) 953-7753

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
137043
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
137043
NBCRNA
Enumeration date
06/03/2022
Last updated
06/03/2022
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