Organization
NORTH METRO ANESTHESIA SERVICES P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA M WELTY CRNA (CORPORATE FINANCIAL OFFICER)
(651) 464-4611
Entity
Organization
Contact information
Practice address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 464-4611
(651) 464-7627
Mailing address
5200 FAIRVIEW BLVD, WYOMING, MN 55092-8013
(651) 464-4611
(651) 464-7627
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
116302
UCARE
MN
01
—
184
HEALTHPARTNERS
MN
01
—
2000495
MEDICA
MN
01
—
26532NO
BLUE CROSS
MN
05
—
405342700
—
MN
05
—
43790200
—
WI
Enumeration date
01/06/2006
Last updated
11/10/2009
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