Individual
SCOTT E ENGELSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 829-2861
Mailing address
523 N 3RD ST, BRAINERD, MN 56401-3054
(218) 829-2861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1497003081
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
55611
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
145989
BCBS OF KS
KS
05
—
200508500A
—
KS
01
—
P00625414
RR MEDICARE GROUP CQ2302
KS
Enumeration date
08/05/2007
Last updated
01/07/2016
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