Individual
STEPHANIE MARYANN DONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2700 SNELLING AVE N, ROSEVILLE, MN 55113-1719
(651) 251-8025
Mailing address
2700 SNELLING AVE N, ROSEVILLE, MN 55113-1719
(651) 251-8025
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 153293-3
MN
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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