Individual
MRS. MONICA JOY MORTENSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
11715 JEWEL CT NE, BLAINE, MN 55449-5876
(763) 767-1843
Mailing address
11715 JEWEL CT NE, BLAINE, MN 55449-5876
(763) 767-1843
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
078542
MN
Other
Enumeration date
04/01/2008
Last updated
04/01/2008
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