Individual
LAURA FORTMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
640 JACKSON ST, SAINT PAUL, MN 55101-2595
(651) 254-3456
Mailing address
722 79TH ST, LINO LAKES, MN 55014-1161
(715) 523-1052
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2622
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/10/2021
Last updated
01/27/2026
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