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Nathan Richard Palm, CRNA

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

NPI number1366809261
StatusActive
Last updated in NPPESDec 18, 2020

Details

NPI
1366809261
Entity type
Individual (NPI-1)
Name
Nathan Richard Palm
Credential
CRNA
Sex
Male
Sole proprietor
No
Enumeration date
Jan 22, 2016
Certification date
Dec 18, 2020
Last updated
Dec 18, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
367500000X Nurse Anesthetist, Certified Registered174457-2MNYes

Practice location

915 E 1st St
Duluth, MN 55805-2107

Phone 218-249-5352 · Fax 218-249-5534

Mailing address

915 E 1st St
Duluth, MN 55805-2107

Phone 218-249-5352 · Fax 218-249-5534

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