Healthcare Provider Details

I. General information

NPI: 1730170127
Provider Name (Legal Business Name): KAREN LINDGREN RN, CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN A PAULSON CRNA

II. Dates (important events)

Enumeration Date: 11/03/2005
Last Update Date: 09/08/2008
Certification Date:
Deactivation Date: 11/11/2005
Reactivation Date: 04/12/2006

III. Provider practice location address

400 EAST 3RD STREET
DULUTH MN
55805
US

IV. Provider business mailing address

400 EAST 3RD STREET
DULUTH MN
55805
US

V. Phone/Fax

Practice location:
  • Phone: 218-786-8364
  • Fax:
Mailing address:
  • Phone: 218-786-8364
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License NumberR-133020-3
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: