Tyler Forrest Pangerl, CRNA
Nurse Anesthetist, Certified Registered in St Louis Park, MN. Individual provider (NPI-1).
NPI number1982111647
StatusActive
Last updated in NPPESAug 19, 2021
Details
- NPI
- 1982111647
- Entity type
- Individual (NPI-1)
- Name
- Mr. Tyler Forrest Pangerl
- Credential
- CRNA
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 3, 2018
- Certification date
- Aug 19, 2021
- Last updated
- Aug 19, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 2157 | MN | Yes |
Practice location
6500 Excelsior BlvdSt Louis Park, MN 55426-4702
Phone 952-993-5000
Mailing address
7400 France Ave SSte 100
Edina, MN 55435-4738
Phone 763-537-6000
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All 95 Certified Registered Nurse Anesthetist providers in St Louis Park · All 3,529 providers in St Louis Park
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