Individual
MELINDA HUBER HENSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
3701 12TH ST N, SUITE 202, SAINT CLOUD, MN 56303-2255
(320) 258-3090
(320) 258-3095
Mailing address
14700 28TH AVE N STE 20, PLYMOUTH, MN 55447-4876
(320) 258-3090
(320) 258-3095
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 167920-7
MN
Other
Enumeration date
04/22/2013
Last updated
01/24/2023
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