Individual
ROBERTA LYNN DEGUISEPPI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-4626
Mailing address
400 E 3RD ST, DULUTH, MN 55805-1951
(218) 786-4626
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R098277-5
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44338500
—
WI
05
—
509107100
—
MN
Enumeration date
08/05/2006
Last updated
06/24/2011
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