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Individual

KRISTIN M SCHANTZEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA, ACNP-C

Contact information

Practice address
55 FRUIT ST, BOSTON, MA 02114-2696
(617) 726-2000
Mailing address
8170 33RD AVE S # 21110Q, BLOOMINGTON, MN 55425-4516
(952) 883-7961
(952) 883-5395

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
MA2370709
MA
367500000X
Certified Registered Nurse Anesthetist
R1279021
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
36042900
MN
Enumeration date
04/20/2006
Last updated
05/19/2025
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