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Coryann Debronsky Kleinhaus, CRNA

Nurse Anesthetist, Certified Registered in St Louis Park, MN. Individual provider (NPI-1).

NPI number1154802452
StatusActive
Last updated in NPPESSep 24, 2018

Details

NPI
1154802452
Entity type
Individual (NPI-1)
Name
Coryann Debronsky Kleinhaus
Credential
CRNA
Sex
Female
Sole proprietor
Yes
Enumeration date
Aug 24, 2018
Last updated
Sep 24, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered2228MNYes
163W00000X Registered Nurse2088525MN

Practice location

6500 Excelsior Blvd
St Louis Park, MN 55426-4702

Phone 952-993-5000

Mailing address

8170 33rd Ave S # Ms 21110q
Bloomington, MN 55425-4516

Other practice locations

5608 Excelsior Blvd
Minneapolis, MN 55416-2826

Phone 952-993-5000

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