Individual
SHELLIE LYNETTE THOMPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
903 S OAK AVE, OWATONNA, MN 55060-3200
(507) 444-9913
Mailing address
533 14TH ST SE, OWATONNA, MN 55060-4112
(507) 444-9913
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R122083-4
MN
Other
Enumeration date
10/06/2006
Last updated
02/16/2021
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