| Jerold Lee Mullins, CRNA | |
| 
					8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433-5850  | |
| (763) 398-0099 | |
| (763) 398-0124 | 
| Full Name | Jerold Lee Mullins | 
|---|---|
| Gender | Male | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 8990 Springbrook Dr Nw, Coon Rapids, Minnesota | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1699777359 | NPI | - | NPPES | 
| 367542400 | Medicaid | MN | |
| 268T6MU | Other | MN | BCBSMN | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R 082378-2 (Minnesota) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Jerold Lee Mullins, CRNA 12448 296th Ave, Princeton, MN 55371-9138 Ph: () -  | Jerold Lee Mullins, CRNA 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433-5850 Ph: (763) 398-0099  | 
Mark Retz,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Suite 250, Coon Rapids, MN 55433 Phone: 763-398-0124  | |
Michael D Thyen, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124  | |
Cynthia J Martinson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124  | |
Jeffrey Alan Leech Ii, APRN, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 4050 Coon Rapids Blvd Nw, Coon Rapids, MN 55433 Phone: 763-236-6000  | |
Neil H Stock, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124  | |
Kristina K Munyer, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124  | |
Scott M Peterson, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 8990 Springbrook Dr Nw, Ste 250, Coon Rapids, MN 55433 Phone: 763-398-0099 Fax: 763-398-0124  |