Individual
MISS KRISTI LYNN NEILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
800 E 28TH ST, MINNEAPOLIS, MN 55407-3723
(612) 863-4000
Mailing address
401 SE MAIN ST APT 7019, MINNEAPOLIS, MN 55414-4619
(651) 470-6968
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
589719-1
NY
367500000X
Certified Registered Nurse Anesthetist
Primary
R-158661-7 CRNA 1766
MN
Other
Enumeration date
11/12/2013
Last updated
01/16/2016
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