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Jeffrey R Johannsen, CRNA
Certified Registered Nurse Anesthetist in Detroit Lakes, Minnesota
NPI 1730125816

Jeffrey R Johannsen is a Certified Registered Nurse Anesthetist based in Detroit Lakes, MN. Jeffrey R Johannsen practices in Detroit Lakes, MN and has the professional credentials of CRNA. The NPI Number for Jeffrey R Johannsen is 1730125816 and holds a License No. R141280-4 (Minnesota).

The current practice location address for Jeffrey R Johannsen is 1027 Washington Ave, Detroit Lakes, MN and can be reached out via phone at 218-847-5611 and via fax at 218-847-0881.

Location: 1027 Washington Ave, Detroit Lakes, MN, 56501-3409
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1730125816
Provider Name
Jeffrey R Johannsen
Credential
CRNA
Provider Entity Type
Individual
Gender
Male
Address
1027 Washington Ave, Detroit Lakes, MN, 56501-3409
Phone Number
218-847-5611
Fax Number
218-847-0881
Provider Enumeration Date
06/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
033G2JO 01 MN MNBS #
1697627 01 MN AMERICA'S PPO/ARAZ #
1730125816 05 MN
23758 01 MN NDBS #
DA9031034432 01 MN PREFERRED ONE #
12694 05 MN
2001891 01 MN MEDICA #
24174 01 MN LHS/BANNERHEALTH #
HP38479 01 MN HEALTHPARTNERS #
150582300 05 MN
institution
Provider Business Practice Location Address Details
Address
1027 Washington Ave
City
Detroit Lakes
State
Minnesota
Zip
56501-3409
Phone Number
218-847-5611
Fax Number
218-847-0881
person
Provider Business Mailing Address Details
Address
1027 Washington Ave
City
Detroit Lakes
State
Minnesota
Zip
56501-3409
Phone Number
218-847-5611
Fax Number
218-847-0881
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Anesthetist, Certified Registered
Speciality
-
Taxonomy
367500000X
License No.
R141280-4 (Minnesota)
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
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