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Amy T Wiens, CRNA

Nurse Anesthetist, Certified Registered in Saint Paul, MN. Individual provider (NPI-1).

NPI number1265530786
StatusActive
Last updated in NPPESOct 7, 2010

Details

NPI
1265530786
Entity type
Individual (NPI-1)
Name
Amy T Wiens
Credential
CRNA
Sex
Female
Sole proprietor
No
Enumeration date
Sep 20, 2006
Last updated
Oct 7, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified RegisteredR1373545MNYes

Practice location

333 Smith Ave N
Saint Paul, MN 55102-2344

Phone 651-735-0501 · Fax 651-735-1870

Mailing address

8681 Eagle Point Blvd
Lake Elmo, MN 55042-8628

Phone 651-251-8021 · Fax 651-251-8050

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