Provider Demographics
NPI:1740697838
Name:STRANDQUIST, CHRISTINE RENEE (CRNA)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:RENEE
Last Name:STRANDQUIST
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:CHRISTINE
Other - Middle Name:RENEE
Other - Last Name:KRAMER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:6456 210TH LN N
Mailing Address - Street 2:
Mailing Address - City:FOREST LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55025-9100
Mailing Address - Country:US
Mailing Address - Phone:651-340-8651
Mailing Address - Fax:
Practice Address - Street 1:6456 210TH LN N
Practice Address - Street 2:
Practice Address - City:FOREST LAKE
Practice Address - State:MN
Practice Address - Zip Code:55025-9100
Practice Address - Country:US
Practice Address - Phone:651-340-8651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-07-21
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR161915-7163W00000X
MN103371367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse