Individual
MS. MATTILYN A FELLEGY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
(612) 365-1000
Mailing address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 273-3000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2115485
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
2670
MN
Other
Enumeration date
10/22/2021
Last updated
03/11/2022
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