Mrs Angela Renae Mund, MS CRNA | |
1 Veterans Dr, Minneapolis, MN 55417-2309 | |
(612) 467-3393 | |
Not Available |
Full Name | Mrs Angela Renae Mund |
---|---|
Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 1 Veterans Dr, Minneapolis, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1003831348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | R-118044-0 (Minnesota) | Primary |
Entity Name | Medical University Hospital Authority |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255305876 PECOS PAC ID: 1557268950 Enrollment ID: O20031215000499 |
Mailing Address | Practice Location Address |
---|---|
Mrs Angela Renae Mund, MS CRNA 2536 Tournament Players Cir N, Blaine, MN 55449-5667 Ph: (763) 572-3922 | Mrs Angela Renae Mund, MS CRNA 1 Veterans Dr, Minneapolis, MN 55417-2309 Ph: (612) 467-3393 |
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