Individual
JOSEPH RYNE PRUIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
640 JACKSON ST, DEPT OF ANESTHESIA, SAINT PAUL, MN 55101-2502
(651) 254-6512
(651) 254-3048
Mailing address
640 JACKSON ST, DEPT OF ANESTHESIA, SAINT PAUL, MN 55101-2502
(651) 254-6512
(651) 254-3048
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA 1742
MN
367500000X
Certified Registered Nurse Anesthetist
D136694
IA
Other
Enumeration date
09/17/2014
Last updated
01/25/2016
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