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Individual

BRITTANY EUSTICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
500 HARVARD ST SE, MINNEAPOLIS, MN 55455-0363
(612) 273-3000
Mailing address
10336 BALSAM LN, EDEN PRAIRIE, MN 55347-4525

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
193110-30
WI
163W00000X
Registered Nurse
R 205771-8
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
104956
MN

Other

Enumeration date
11/05/2014
Last updated
12/19/2014
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