Provider Demographics
NPI:1356005441
Name:TOURAY, EBRIMA (CRNA)
Entity Type:Individual
Prefix:
First Name:EBRIMA
Middle Name:
Last Name:TOURAY
Suffix:
Gender:M
Credentials:CRNA
Other - Prefix:MR
Other - First Name:EBRIMA
Other - Middle Name:
Other - Last Name:TOURAY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CRNA
Mailing Address - Street 1:663 ROBERTS RD
Mailing Address - Street 2:
Mailing Address - City:SARTELL
Mailing Address - State:MN
Mailing Address - Zip Code:56377-4128
Mailing Address - Country:US
Mailing Address - Phone:608-469-3813
Mailing Address - Fax:
Practice Address - Street 1:1406 6TH AVE N
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-1900
Practice Address - Country:US
Practice Address - Phone:320-251-2700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2645367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered