Individual
JACQUELINE A GINGERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
6050 CLEARWATER DRIVE, CHILDRENS HEALTH CARE WEST, MINNETONKA, MN 55343
(651) 855-2109
Mailing address
2910 CENTRE POINTE DRIVE, 35-121A CHILDRENS HEALTH CARE, ROSEVILLE, MN 55113
(651) 855-2109
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R0960632
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216543100
—
MN
Enumeration date
08/25/2006
Last updated
07/21/2022
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