Individual
LEANNA EVERSVIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1200 S COLUMBIA RD - ALTRU HOSPITAL, GRAND FORKS, ND 58201
(701) 780-6000
(218) 435-1134
Mailing address
2401 DEMERS AVE, GRAND FORKS, ND 58201
(701) 780-1891
(218) 435-1134
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R218627-8
MN
367500000X
Certified Registered Nurse Anesthetist
R39836
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467877506
—
MN
05
—
18448
—
ND
Enumeration date
02/26/2014
Last updated
04/12/2024
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