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Individual

AMY S CARLSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CRNA

Contact information

Practice address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5555
Mailing address
915 E 1ST ST, DULUTH, MN 55805-2107
(218) 249-5555

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 139221-2
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
934603200
MN
Enumeration date
01/16/2008
Last updated
12/16/2020
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