Provider Demographics
NPI:1871555110
Name:STRANDELL, JOHN (CRNA)
Entity type:Individual
Prefix:MR
First Name:JOHN
Middle Name:
Last Name:STRANDELL
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7330 HIGHWAY 7
Mailing Address - Street 2:
Mailing Address - City:EXCELSIOR
Mailing Address - State:MN
Mailing Address - Zip Code:55331-7304
Mailing Address - Country:US
Mailing Address - Phone:952-446-9222
Mailing Address - Fax:952-446-9225
Practice Address - Street 1:7330 HIGHWAY 7
Practice Address - Street 2:
Practice Address - City:EXCELSIOR
Practice Address - State:MN
Practice Address - Zip Code:55331-7304
Practice Address - Country:US
Practice Address - Phone:952-446-9222
Practice Address - Fax:952-446-9225
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 073873-8367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered