Individual
ANNETTE M TRUDEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 735-0501
(651) 251-8050
Mailing address
1455 STANFORD AVE, SAINT PAUL, MN 55105-2416
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1069341
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
323R5TR
BCBS
MN
Enumeration date
09/20/2006
Last updated
07/08/2007
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