Individual
BRYANNE HORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
640 JACKSON ST, MAIL STOP 11503P, SAINT PAUL, MN 55101-2502
(651) 254-6512
(651) 254-3048
Mailing address
PO BOX 1309, 8170 33RD AVE S MAIL STOP 21110Q, MINNEAPOLIS, MN 55425-4516
(651) 254-6512
(651) 254-3048
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
1799
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R201347-7
MN
Other
Enumeration date
07/11/2015
Last updated
10/07/2015
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