Individual
MARLENE KIESTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
435 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-8080
Mailing address
1709 OAKBROOKE WAY, EAGAN, MN 55122-4215
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
1058
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
780843700
—
MN
Enumeration date
02/21/2006
Last updated
02/14/2025
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