Provider Demographics
NPI:1942586235
Name:SCHRAAN, HEATHER LEA GLIADON (CRNA, RN)
Entity Type:Individual
Prefix:
First Name:HEATHER
Middle Name:LEA GLIADON
Last Name:SCHRAAN
Suffix:
Gender:F
Credentials:CRNA, RN
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Other - Last Name:
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Mailing Address - Street 1:3020 E MINNEHAHA PKWY
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-3746
Mailing Address - Country:US
Mailing Address - Phone:763-639-4681
Mailing Address - Fax:
Practice Address - Street 1:6401 FRANCE AVE S
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55435-2104
Practice Address - Country:US
Practice Address - Phone:952-924-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-31
Last Update Date:2015-01-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNR 169914-8163W00000X
MN88976367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse