Individual
HEATHER MARCELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1720 UNIVERSITY DR S RT 1707, FARGO, ND 58103-6104
(701) 234-1728
(701) 234-1681
Mailing address
1720 UNIVERSITY DR S RT 1707, FARGO, ND 58103-6104
(701) 234-1728
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
R 193968-8
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
R33304
ND
Other
Enumeration date
07/21/2014
Last updated
07/09/2021
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