Individual
PATRICIA KASTENS ENGELSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 829-2861
Mailing address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 829-2861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1373802072
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
1373802072
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1373802072
KS STATE BOARD OF NURSING
KS
01
—
145990
BCBS OF KS
KS
05
—
200517100A
—
KS
01
—
P00605525
RR MEDICARE GROUPCQ2302
KS
Enumeration date
08/01/2007
Last updated
01/07/2016
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