Individual
KELSEY RAE MORINVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
927 CHURCHILL ST W, STILLWATER, MN 55082
(507) 456-5132
Mailing address
2625 WHITE PINE WAY, STILLWATER, MN 55082-7042
(507) 456-5132
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
109818
ID
367500000X
Certified Registered Nurse Anesthetist
1659725398
ID
Other
Enumeration date
04/19/2016
Last updated
07/26/2019
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