| Kimberly Huschle, | |
|
3701 12th St N, Suite 202, Saint Cloud, MN 56303-2255 | |
| (320) 258-3090 | |
| Not Available |
| Full Name | Kimberly Huschle |
|---|---|
| Gender | Female |
| Speciality | Nurse Anesthetist, Certified Registered |
| Location | 3701 12th St N, Saint Cloud, Minnesota |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003283102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R 179586-4 (Minnesota) | Primary |
| Entity Name | Lakewood Health System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841280823 PECOS PAC ID: 1052229671 Enrollment ID: O20031104000411 |
| Entity Name | Centracare Clinic |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043212665 PECOS PAC ID: 2466363395 Enrollment ID: O20031105000293 |
| Entity Name | Unity Family Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1326234006 PECOS PAC ID: 9830003516 Enrollment ID: O20031117000732 |
| Entity Name | St Cloud Outpatient Surgery Ltd |
|---|---|
| Entity Type | Part B Supplier - Ambulatory Surgical Center |
| Entity Identifiers | NPI Number: 1124084843 PECOS PAC ID: 6800877622 Enrollment ID: O20040527000651 |
| Entity Name | Certified Anesthesia Care Co |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699736348 PECOS PAC ID: 9436439114 Enrollment ID: O20161215001488 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Huschle, 3701 12th St N, Suite 202, Saint Cloud, MN 56303-2255 Ph: (320) 258-3090 | Kimberly Huschle, 3701 12th St N, Suite 202, Saint Cloud, MN 56303-2255 Ph: (320) 258-3090 |
Craig Tangen, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3701 12th St N, Suite 202, Saint Cloud, MN 56303 Phone: 320-258-3090 | |
Kayla Jane Elwood, Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3701 12th St N, Suite 202, Saint Cloud, MN 56303 Phone: 320-258-3090 | |
Stephany S Latunski, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 | |
Penny Renee Janorschke, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 1406 6th St N, Saint Cloud, MN 56303 Phone: 320-251-2700 Fax: 320-656-7092 | |
Nicholas M Lejcher, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1406 6th Ave N, Saint Cloud, MN 56303 Phone: 320-251-2700 | |
Bertil Lindquist, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3701 12th St N Ste 202, Saint Cloud, MN 56303 Phone: 320-258-3090 Fax: 320-258-3095 |