Individual
ERIN LOUISE FUGLEBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
317 GROVELAND AVE UNIT 312, MINNEAPOLIS, MN 55403-3661
(612) 615-5054
Mailing address
317 GROVELAND AVE UNIT 312, MINNEAPOLIS, MN 55403-3661
(612) 615-5054
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
189376-30
WI
163W00000X
Registered Nurse
R-184126-8
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
104971
MN
Other
Enumeration date
09/18/2014
Last updated
12/30/2014
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