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JULIE ERICKSON CRNA

>> Nurse Anesthetist, Certified Registered >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1972807436

Individual Registrant:
 JULIE  ERICKSON CRNA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
901 MONTGOMERY ST  DECORAH, IA 52101-2325 US
Tel: 563-382-2911  Fax: 952-442-3620

Contact information for business:
400 E 10TH ST  WACONIA, MN 55387-4552 US
Tel: 952-442-9770  Fax: 952-442-3620

Registration Information:
NPI: 1972807436
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y367500000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Anesthetist, Certified Registered
IAD-126831

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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