Provider Demographics
NPI:1558985747
Name:MAJERUS, BOBBI JO (CRNA)
Entity Type:Individual
Prefix:
First Name:BOBBI
Middle Name:JO
Last Name:MAJERUS
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:BOBBI
Other - Middle Name:JO
Other - Last Name:TOAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:1121 6TH ST NE UNIT 104
Mailing Address - Street 2:
Mailing Address - City:STAPLES
Mailing Address - State:MN
Mailing Address - Zip Code:56479-4301
Mailing Address - Country:US
Mailing Address - Phone:701-830-0478
Mailing Address - Fax:
Practice Address - Street 1:1526 NORTHWAY DR
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56303-1255
Practice Address - Country:US
Practice Address - Phone:320-229-3246
Practice Address - Fax:320-229-3202
Is Sole Proprietor?:No
Enumeration Date:2020-06-03
Last Update Date:2020-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2461367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered