Organization
CAPITAL ANESTHESIA CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE JACOBSEN CRNA (OWNER)
(952) 442-9770
Entity
Organization
Contact information
Practice address
1457 WHITE OAK DR, CHASKA, MN 55318-2525
(952) 442-9770
(952) 442-3620
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(952) 442-9770
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
07/13/2015
Last updated
07/28/2015
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