Radke, Danielle Lynne

Radke, Danielle Lynne is an individual health care provider with primary practice located at 8100 Northland Dr , Bloomington MN 55431-4800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Radke, Danielle Lynne can be contacted via phone (952) 831-8742.

Contact Information

Primary practice address
8100 Northland Dr Bloomington MN 55431-4800
Phone: (952) 831-8742
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X R134677-6 Minnesota

Profile Details

NPI number 1942340781
LBN Legal business name Radke, Danielle Lynne
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Mar 17th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942340781 NPPES
Minnesota MEDICAID 140516100

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