Individual
LISA CHRISTINA VELLINGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CRNA
Contact information
Practice address
1299 BERTHA HOWE AVE, MESQUITE, NV 89027-7500
(775) 336-7438
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
28272044A
IN
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA000483
NV
Other
Enumeration date
09/09/2013
Last updated
03/24/2022
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