Provider Demographics
NPI:1376699520
Name:ANONSEN, KAREN GAIL (CRNA)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:GAIL
Last Name:ANONSEN
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:5092 93RD LN N
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN PARK
Mailing Address - State:MN
Mailing Address - Zip Code:55443-2385
Mailing Address - Country:US
Mailing Address - Phone:203-915-8200
Mailing Address - Fax:
Practice Address - Street 1:14700 28TH AVE N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55447-4835
Practice Address - Country:US
Practice Address - Phone:763-559-3779
Practice Address - Fax:763-559-3791
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-27
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1162086367500000X
CT003602367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered