Healthcare Provider Details

I. General information

NPI: 1508185166
Provider Name (Legal Business Name): ANGELA CHERUBINI POST CRNA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ANGELA CRISTINA CHERUBINI RN

II. Dates (important events)

Enumeration Date: 05/21/2010
Last Update Date: 07/19/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 HARVARD ST SE
MINNEAPOLIS MN
55455-0363
US

IV. Provider business mailing address

18010 96TH AVE N
MAPLE GROVE MN
55311-1243
US

V. Phone/Fax

Practice location:
  • Phone: 612-273-3000
  • Fax:
Mailing address:
  • Phone: 763-420-9910
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number085050
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: