Individual
KIMBERLY H SCHMALZRIEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 345-2623
(507) 389-4685
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
74
MN
367500000X
Certified Registered Nurse Anesthetist
R143489-5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
133594
UCARE
—
01
—
2003683
MEDICA
—
01
—
493L2SC
BLUE CROSS BLUE SHIELD
MN
05
—
956462000
—
MN
01
—
967551047348
PREFERRED ONE
—
01
—
HP70529
HEALTH PARTNERS
—
Enumeration date
10/02/2006
Last updated
10/24/2024
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