Individual
ESTEFANA MARIE VASQUEZ-PENNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6500 EXCELSIOR BLVD, SAINT LOUIS PARK, MN 55426-4700
(651) 757-0365
Mailing address
3620 146TH ST W, ROSEMOUNT, MN 55068-4238
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
3253
MN
Other
Enumeration date
11/25/2025
Last updated
11/25/2025
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