Individual
MRS. EMILY ANN MELLUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 PARK AVE SOUTH, HENNEPIN COUNTY MEDICAL CENTER/REVENUE MANAGEMENT, MINNEAPOLIS, MN 55415
(612) 873-3044
(612) 630-8242
Mailing address
701 PARK AVE SOUTH, HENNEPIN COUNTY MEDICAL CENTER/REVENUE MANAGEMENT, MINNEAPOLIS, MN 55415
(612) 873-3044
(612) 630-8242
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1757886
MN
Other
Enumeration date
10/02/2008
Last updated
02/07/2013
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