Individual
MRS. CRYSTAL CONNOLLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2700 SNELLING AVE N, SUITE 400, ROSEVILLE, MN 55113-1719
(651) 697-5863
Mailing address
2409 TERRACE DR, BURNSVILLE, MN 55337-1972
(763) 238-4471
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
174911-1
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
100360
MN
367500000X
Certified Registered Nurse Anesthetist
R 174911-1
MN
Other
Enumeration date
09/24/2013
Last updated
01/31/2022
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