Organization
RIVER VALLEY ANESTHESIA P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE MURPHY CRNA (OWNER)
(320) 321-8154
Entity
Organization
Contact information
Practice address
824 N 11TH ST, MONTEVIDEO, MN 56265-1629
(888) 209-0305
(952) 442-3620
Mailing address
400 E 10TH ST, WACONIA, MN 55387-4552
(888) 209-0305
(952) 442-3620
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
589262700
—
MN
Enumeration date
10/25/2005
Last updated
08/26/2019
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