Individual
JANEL VONIA PENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3171 44TH ST S UNIT 101, FARGO, ND 58104-8521
(800) 437-4387
(701) 235-0330
Mailing address
1720 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 234-1728
(701) 234-1681
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R19874
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003888
ND BLUE SHIELD
ND
05
—
10221
—
ND
05
—
462318500
—
MN
01
—
53A52PE
MN BLUE SHIELD
MN
Enumeration date
05/11/2006
Last updated
08/08/2024
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