Healthcare Provider Details

I. General information

NPI: 1427209576
Provider Name (Legal Business Name): KAREN MOSCHET CRNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2008
Last Update Date: 10/07/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 OAKDALE AVE N
ROBBINSDALE MN
55422-2926
US

IV. Provider business mailing address

18958 VOGEL FARM RD
EDEN PRAIRIE MN
55347-4198
US

V. Phone/Fax

Practice location:
  • Phone: 763-520-1813
  • Fax: 763-520-5554
Mailing address:
  • Phone: 952-229-4542
  • Fax: 952-906-3527

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WR0006X
TaxonomyRegistered Nurse First Assistant
License NumberR 108427-4
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: