Individual
RANDY L KREMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3000 32ND AVE S, FARGO, ND 58103-6132
(701) 364-8000
(701) 364-8078
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R19754
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
047843100
—
ND
01
—
10338
NDBS # 10338
ND
05
—
12644
—
ND
01
—
142338
UCARE #
ND
01
—
2000781
MEDICA INNOVIS #
ND
01
—
2000782
MEDICA FARGO #
ND
01
—
50209KR
MNBS #
ND
01
—
947812
ARAZ #
ND
01
—
DA9011015552
PREF 1 #
ND
01
—
HP38624
HEALTHPARTNERS #
ND
Enumeration date
06/08/2006
Last updated
05/16/2012
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