| Robyn Larson, CRNA | |
| 
					3300 Oakdale Ave N, Robbinsdale, MN 55422-2926  | |
| (763) 520-5200 | |
| (763) 520-1026 | 
| Full Name | Robyn Larson | 
|---|---|
| Gender | Female | 
| Speciality | Nurse Anesthetist, Certified Registered | 
| Location | 3300 Oakdale Ave N, Robbinsdale, Minnesota | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1306022876 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | R-137316-3 (Minnesota) | Secondary | 
| 367500000X | Nurse Anesthetist, Certified Registered | CRNA 0148 (Minnesota) | Primary | 
| Entity Name | Park Nicollet Clinic | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1780621904 PECOS PAC ID: 7911819438 Enrollment ID: O20031104000046  | 
| Entity Name | Regions Hospital | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1154359917 PECOS PAC ID: 3173436755 Enrollment ID: O20031110000511  | 
| 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  | 
| Entity Name | Allina Health System | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1295272342 PECOS PAC ID: 4587573613 Enrollment ID: O20040319000460  | 
| Entity Name | University Anesthesia Providers Llc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1699711143 PECOS PAC ID: 7315986064 Enrollment ID: O20050502000881  | 
| Entity Name | University Of Minnesota Health Clinics And Surgery Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1053795187 PECOS PAC ID: 9133423304 Enrollment ID: O20160209000524  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Robyn Larson, CRNA 8170 33rd Ave S, Po Box 1309 Mail Stop 21110q, Minneapolis, MN 55425-4516 Ph: () -  | Robyn Larson, CRNA 3300 Oakdale Ave N, Robbinsdale, MN 55422-2926 Ph: (763) 520-5200  | 
Tana Isaacson,  Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-1926  | |
Dana Lee Chippendale, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-5200  | |
Jonghwa Park,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-581-3980 Fax: 763-581-3591  | |
Katherine Piehl, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-5200 Fax: 763-257-8356  | |
Carolyn Olson,  Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-1926  | |
Jeffrey Middendorf,  Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-1926  | |
Brian Geniesse,  Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 3300 Oakdale Ave N, Robbinsdale, MN 55422 Phone: 763-520-5200  |