Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEFFREY R JOHANNSEN, CRNA
ActiveJEFFREY R JOHANNSEN, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in DETROIT LAKES, Minnesota. NPI 1730125816 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · DETROIT LAKES, MN
Registration Details
- NPI Number
- 1730125816
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 20, 2006 (20.146452373577 yrs)
- Last Updated
- Jul 19, 2012
- License
-
R141280-4 (MN)
Practice Information
- Address
-
1027 WASHINGTON AVEDETROIT LAKES, MN, 565013409Browse MN providers · Browse ZIP 56501
- Phone
- 2188475611
- Fax
- 2188470881
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in DETROIT LAKES, MN
| Name | Credential | NPI |
|---|---|---|
| RUSSELL H SAUER | — | 1366410540 |
| KRISTINE K DOMIER | CRNA | 1134172034 |
| BENJAMIN B EVENSON | CRNA | 1659328375 |
| DEWAYNE M DUNHAM | CRNA | 1720029325 |
| DEBRA D JELLISON | CRNA | 1861410417 |
| CAROL M LEE | CRNA | 1316965981 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.