Healthcare Provider Details

I. General information

NPI: 1922452861
Provider Name (Legal Business Name): VALERIE LYNN MARTINSON CRNA, APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: VALERIE LYNN LARIMORE CRNA, APRN

II. Dates (important events)

Enumeration Date: 04/18/2016
Last Update Date: 10/05/2023
Certification Date: 10/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 1ST ST SW
ROCHESTER MN
55905-0001
US

IV. Provider business mailing address

200 1ST ST SW
ROCHESTER MN
55905-0001
US

V. Phone/Fax

Practice location:
  • Phone: 507-284-2511
  • Fax:
Mailing address:
  • Phone: 507-284-2511
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367500000X
TaxonomyCertified Registered Nurse Anesthetist
License Number1907
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: