Vetruba, Amy J

Vetruba, Amy J is an individual health care provider with primary practice located at 333 Smith Ave N , Saint Paul MN 55102-2344. 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. Vetruba, Amy J can be contacted via phone (651) 735-0501.

Contact Information

Primary practice address
333 Smith Ave N Saint Paul MN 55102-2344
Phone: (651) 735-0501
Fax: (651) 735-1870
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R11414586 Minnesota

Profile Details

NPI number 1952368326
LBN Legal business name Vetruba, Amy J
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Oct 7th, 2010 - about 16 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 1952368326 NPPES
Minnesota MEDICAID 642643300

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