Individual
MELISSA ANN MOGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7686 HOMESTEAD AVE S, COTTAGE GROVE, MN 55016-1989
(716) 208-8778
Mailing address
7686 HOMESTEAD AVE S, COTTAGE GROVE, MN 55016-1989
(716) 208-8778
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2251886
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
3228
MN
Other
Enumeration date
07/14/2025
Last updated
09/10/2025
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