MEDICARE: MRS. NANCY ANN TRONNIER CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	RO885429	MN

General Provider Information

NPI Number	:	1447226600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NANCY ANN TRONNIER CRNA

Provider Business Mailing Address
First Line	:	1370 ALPINE PASS
Second Line	:
City	:	GOLDEN VALLEY
State	:	MN
Zip	:	55416-3502
Country	:	US
Telephone Number	:	763-377-9608
Fax Number	:

Provider Business Practice Location Address
First Line	:	1370 ALPINE PASS
Second Line	:
City	:	GOLDEN VALLEY
State	:	MN
Zip	:	55416-3502
Country	:	US
Telephone Number	:	763-377-9608
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	07/08/2007

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