Individual
EILEEN M CHANNEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
323 S MINNESOTA ST, CROOKSTON, MN 56716-1601
(218) 281-9200
(218) 281-9224
Mailing address
323 S MINNESOTA ST, CROOKSTON, MN 56716-1601
(218) 281-9200
(218) 281-9224
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 148885-4
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R 148885-4
LICENSE
MN
Enumeration date
10/31/2006
Last updated
02/19/2014
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