Provider Demographics
NPI:1033186051
Name:ENGEN, SHERREE LEE (CRNA)
Entity Type:Individual
Prefix:
First Name:SHERREE
Middle Name:LEE
Last Name:ENGEN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39595 COUNTY ROAD 17
Mailing Address - Street 2:PO BOX 162
Mailing Address - City:SAUK CENTRE
Mailing Address - State:MN
Mailing Address - Zip Code:56378-8357
Mailing Address - Country:US
Mailing Address - Phone:320-351-8513
Mailing Address - Fax:
Practice Address - Street 1:39595 COUNTY ROAD 17
Practice Address - Street 2:
Practice Address - City:SAUK CENTRE
Practice Address - State:MN
Practice Address - Zip Code:56378-0162
Practice Address - Country:US
Practice Address - Phone:320-351-8513
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 149281-1367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered