Kimberly Diane Rupp-montpetit CRNA

NPI 1114023967 - Nurse Anesthetist, Certified Registered - 367500000X

NPI Details
NPI 1114023967
Gender Female
Enumeration Date 09/16/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
301 BECKER AVE SW
WILLMAR MN, 56201-3302, US
Phone (320) 231-4120
Fax
Business Location
410 LAKE AVE S
SPICER MN, 56288-8614, US
Phone (320) 796-0434
Fax
Toxanomy
Taxonomy Code 367500000X
License State Minnesota
License Number R 116376-8
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According to our database, Ms. Kimberly Diane Rupp-montpetit CRNA NPI is 1114023967, taxonomy code is 367500000X and license number is R 116376-8, license state is located at Minnesota. Kimberly Diane Rupp-montpetit CRNA physically located at 301 Becker Ave Sw, Willmar MN, 56201-3302. NPI Number Kimberly Diane Rupp-montpetit CRNA has the Individual type.

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1114023967 NPI number is provided on an as is basis without warranty of any kind. 1114023967 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly Diane Rupp-montpetit CRNA are for informational purposes only.