IndividualActive
Thomas Gendron, CNOR, OPA-C
NPI 1659488625 · Registered Nurse First Assistant · Eden Prairie, MN
Provider details
- NPI number
- 1659488625
- Entity type
- Individual
- Primary specialty
- Registered Nurse First AssistantNursing Service Providers
- Credential
- CNOR, OPA-C
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1110737 (MN)
Specialties & taxonomies
Nursing Service Providers
Practice location
775 Prairie Center Dr
Suite 250
Eden Prairie, MN 55344-7314
Phone: (952) 944-2519
Fax: (952) 944-0460
Approximate (ZIP-level) locationGet directions
Mailing address
6465 Wayzata Blvd
St Louis Park, MN 55426-1728
Registry dates
- Enumerated
- 2006-08-24
- Last updated
- 2022-05-24
- Certified
- 2022-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.