Individual
JANICE NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2855 CAMPUS DR, PLYMOUTH, MN 55441-2649
(763) 577-7179
Mailing address
1225 IVES LN N, PLYMOUTH, MN 55441-4758
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R436632
MN
Other
Enumeration date
08/24/2006
Last updated
07/08/2007
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