Individual
SUSAN BRUNNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2595
(651) 254-3456
Mailing address
6225 W BALD EAGLE BLVD, SAINT PAUL, MN 55110-1027
(646) 286-2981
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
26NJ15388400
NJ
367500000X
Certified Registered Nurse Anesthetist
Primary
2748
MN
Other
Enumeration date
08/02/2022
Last updated
09/24/2025
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