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NPI 1689186207

IndividualActive

Alexandra Malkuch, CRNA

NPI 1689186207 · Certified Registered Nurse Anesthetist · Willmar, MN

Provider details

NPI number: 1689186207
Entity type: Individual
Primary specialty: Certified Registered Nurse AnesthetistPhysician Assistants & Advanced Practice Nursing Providers
Credential: CRNA
Sex: Female
Sole proprietor: No
License: 10167 (MN)

Specialties & taxonomies

Certified Registered Nurse AnesthetistPrimary367500000XLicense 120311 (MN)
Physician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner363L00000XLicense 10167 (MN)
Physician Assistants & Advanced Practice Nursing Providers
Student in an Organized Health Care Education/Training Program390200000X
Student, Health Care

Practice location

301 Becker Ave Sw

Willmar, MN 56201-3302

Phone: (320) 253-4543

Approximate (ZIP-level) locationGet directions

More MN providers

Mailing address

143 Lake Ave N

Spicer, MN 56288-9616

Additional practice locations (2)

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone: (612) 273-3000
143 Lake Ave N
Spicer, MN 56288-9616
Phone: (320) 460-2821

Registry dates

Enumerated: 2017-11-05
Last updated: 2023-05-01
Certified: 2023-03-23

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Alexandra Malkuch, CRNA — NPI 1689186207, Willmar, MN | NPI Central