Individual
STACEY A VAN LITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2525 CHICAGO AVE S, CHILDRENS HOSPITALS AND CLINICS OF MINNESOTA, MINNEAPOLIS, MN 55404
(612) 813-6273
(612) 813-7380
Mailing address
2910 CENTRE POINTE DRIVE, 35 121A CHILDRENS HEALTH CARE, ROSEVILLE, MN 55113
(651) 855-2109
(651) 855-2310
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1118577
MN
Other
Enumeration date
02/26/2007
Last updated
10/17/2014
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