Individual
VICKI LORRAINE FLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1544 SHELDON STREET, ST. PAUL, MN 55108
(651) 646-3091
(651) 646-3124
Mailing address
15490 293RD AVENUE, ZIMMERMAN, MN 55398
(763) 631-1058
(651) 646-3124
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R 075429-1
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
034920
MN
Other
Enumeration date
10/03/2006
Last updated
01/25/2008
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