Individual
KATY JEAN EBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1182
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
1318322
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2010
Last updated
08/04/2020
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