Individual
HEIDI L ANDRUSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1451 44TH AVE S, GRAND FORKS, ND 58201-3434
(701) 780-1700
Mailing address
6615 LAKE DR, GRAND FORKS, ND 58201-8321
(701) 746-7441
(701) 746-7447
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R27377
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
13129
—
ND
01
—
24572
BCBS
ND
01
—
365M4ST
BCBS
MN
05
—
368665500
—
MN
01
—
P00440923
RR MEDICARE
—
Enumeration date
10/05/2006
Last updated
04/02/2012
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