Organization
ELITE ANESTHESIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE KLINKNER CRNA (PRESIDENT)
(507) 676-1011
Entity
Organization
Contact information
Practice address
6036 EDEN PRAIRIE RD, MINNETONKA, MN 55345-6721
(818) 340-9988
(818) 587-2493
Mailing address
PO BOX 4419, WOODLAND HILLS, CA 91365-4419
(818) 340-9988
(818) 587-2493
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
03/14/2022
Last updated
05/18/2022
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