Individual
ANNE-CECILE N MALLE-BARLOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2525 CHICAGO AVE, MINNEAPOLIS, MN 55404-4518
(952) 992-5624
Mailing address
2545 CHICAGO AVE, SUITE 311, MINNEAPOLIS, MN 55404-4522
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 128830-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
670126400
—
MN
Enumeration date
03/21/2006
Last updated
03/25/2020
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