Individual
TAMI ELIZABETH MULLENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
13513
WI
367500000X
Certified Registered Nurse Anesthetist
Primary
928
MN
367500000X
Certified Registered Nurse Anesthetist
R1573714
MN
Other
Enumeration date
02/25/2013
Last updated
01/27/2023
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