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Individual

MARISSA LYNN SHUKAREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
3472 HIDDEN HILLS LN NE, ROCHESTER, MN 55906-6201
(507) 358-8537
Mailing address
3472 HIDDEN HILLS LN NE, ROCHESTER, MN 55906-6201
(507) 358-8537

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
0152
MN
367500000X
Certified Registered Nurse Anesthetist
R-1657287
MN

Other

Enumeration date
07/23/2013
Last updated
08/29/2019
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