Individual
STEPHANIE L DUPAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
640 JACKSON ST, MAIL STOP 11503P, ST PAUL, MN 55101-2502
(651) 254-3456
(651) 254-3048
Mailing address
8100 34TH AVE S, 21110Q, BLOOMINGTON, MN 55425-1672
(952) 883-7961
(952) 883-5395
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
13203
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
R1417786
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285601377
—
WI
05
—
690951500
—
MN
Enumeration date
03/07/2006
Last updated
10/26/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us