| Angela Bernice Wasz, CRNA | |
| 
					6500 Excelsior Blvd, St Louis Park, MN 55426-4702  | |
| (952) 993-5000 | |
| Not Available | 
| Full Name | Angela Bernice Wasz | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 6500 Excelsior Blvd, St Louis Park, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1821628397 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 163WC0200X | Registered Nurse - Critical Care Medicine | 2369163 (Minnesota) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | 2762 (Minnesota) | Primary | 
| Entity Name | Park Nicollet Methodist Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1083622047 PECOS PAC ID: 7315840063 Enrollment ID: O20040129000853  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Angela Bernice Wasz, CRNA 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 Ph: () -  | Angela Bernice Wasz, CRNA 6500 Excelsior Blvd, St Louis Park, MN 55426-4702 Ph: (952) 993-5000  | 
Lindsey Marie Knapp, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000  | |
Ms. Susan J Bermel, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, Anesthesiology, St Louis Park, MN 55426 Phone: 952-993-5222  | |
Anne Katherine Hennes, APRN, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-6016  | |
Alexis Rose Boll,  Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000  | |
Adrienne Backus,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000  | |
Frank A Jirik,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000  | |
Carie Voges,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 6500 Excelsior Blvd, St Louis Park, MN 55426 Phone: 952-993-5000  |