Individual
MS. MARY JO KRAUEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.R.N.A.
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2502
(651) 254-3456
Mailing address
640 JACKSON ST # MS 13901C, SAINT PAUL, MN 55101-2502
(651) 254-3456
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
635757
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
R 107070-9
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
435544000
—
MN
Enumeration date
01/10/2006
Last updated
04/13/2018
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