Individual
MATTHEW ONOFRIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, CRNA, DNAP
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 697-5804
Mailing address
2355 HIGHWAY 36 W STE 400, ROSEVILLE, MN 55113-3905
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2306
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
367500000X
CRNA
MN
Enumeration date
02/04/2019
Last updated
02/14/2019
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