Cynthia Mohnen Brick, CRNA

Individual provider Active NPI Certified Registered Nurse Anesthetist · Waconia, MN

NPI 1043381114 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1043381114
Entity type
Individual (NPI type 1)
Primary specialty
Certified Registered Nurse Anesthetist 367500000X
License
R090073-1 (MN)
Practice address
500 S Maple St
Waconia, MN 55387-1752
Phone
(952) 442-2191
NPI assigned
Nov 12, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
R090073-1MNMDCertified Registered Nurse Anesthetist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X R090073-1 MN Yes

Addresses

Primary practice location

500 S Maple St
Waconia, MN 55387-1752

Mailing address

1333 Courtland E
Waconia, MN 55387-1200
Phone (952) 442-1016

Other providers in Waconia, MN

All providers in Waconia, MN · Certified Registered Nurse Anesthetist in Minnesota

Sources for this page

Verify at the official NPI Registry.