Individual
DANIELLE MARIE LEE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4612 15TH AVE S, MINNEAPOLIS, MN 55407-3653
(919) 995-6963
Mailing address
4612 15TH AVE S, MINNEAPOLIS, MN 55407-3653
(919) 995-6963
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2100335
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
1427
MN
Other
Enumeration date
09/03/2012
Last updated
03/17/2018
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