Individual
MS. AMY K WIDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
701 FAIRVIEW BLVD, RED WING, MN 55066-2848
(612) 467-4698
Mailing address
2500 WESTCLIFFE DR, BURNSVILLE, MN 55306-6905
(952) 898-5179
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R 147159-9
MN
Other
Enumeration date
07/31/2006
Last updated
01/27/2021
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