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NPI Code Detail

MEDICARE: CURTIS ELMER MATHSEN CRNA

MEDICARE:   CURTIS ELMER MATHSEN  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
1367500000XCertified Registered Nurse Anesthetist2290MN
2367500000XCertified Registered Nurse Anesthetist648147TX

General Provider Information

NPI Number : 1750374880
Entity Type Code : Individual
Provider Name (Legal Business Name) : CURTIS ELMER MATHSEN CRNA
Provider Business Mailing Address
First Line : 1700 UNIVERSITY AVE W FL 6
Second Line :
City : SAINT PAUL
State : MN
Zip : 55104-3727
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6401 FRANCE AVE S
Second Line :
City : EDINA
State : MN
Zip : 55435-2104
Country : US
Telephone Number : 763-488-8346
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 07/03/2024

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Directions to “ CURTIS ELMER MATHSEN CRNA” Practice Location

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