Krauel, Mary Jo

Krauel, Mary Jo is an sole proprietor health care provider with primary practice located at 640 Jackson St , Saint Paul MN 55101-2502. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Krauel, Mary Jo can be contacted via phone (651) 254-3456.

Contact Information

Primary practice address
640 Jackson St Saint Paul MN 55101-2502
Phone: (651) 254-3456
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 635757 New York
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R 107070-9 Minnesota

Profile Details

NPI number 1477532331
LBN Legal business name Krauel, Mary Jo
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 10th, 2006
Last updated Apr 13th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477532331 NPPES
Minnesota MEDICAID 435544000

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