Provider Demographics
NPI:1053709022
Name:LEDUC, CLAIRE CRANDALL (RN, APRN, CRNA)
Entity type:Individual
Prefix:
First Name:CLAIRE
Middle Name:CRANDALL
Last Name:LEDUC
Suffix:
Gender:F
Credentials:RN, APRN, CRNA
Other - Prefix:
Other - First Name:CLAIRE
Other - Middle Name:LEDUC HYE EUN
Other - Last Name:RUUD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN, APRN, CRNA
Mailing Address - Street 1:11147 HARRISON AVE S
Mailing Address - Street 2:
Mailing Address - City:BLOOMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55437-3249
Mailing Address - Country:US
Mailing Address - Phone:651-245-9855
Mailing Address - Fax:
Practice Address - Street 1:2000 NORTH AVE
Practice Address - Street 2:
Practice Address - City:NORTHFIELD
Practice Address - State:MN
Practice Address - Zip Code:55057-1697
Practice Address - Country:US
Practice Address - Phone:507-646-1494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-29
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI190951-30367500000X
MN182573-4367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered