Individual
RACHEL R EDGERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7979 HILLTON RD, ROYALTON, MN 56373-4009
(316) 393-0080
Mailing address
7979 HILLTON RD, ROYALTON, MN 56373-4009
(316) 393-0080
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
55387
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
55387
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200267730A
—
KS
Enumeration date
08/16/2005
Last updated
01/24/2020
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