Individual
LAURA AMELSE
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) 871-7639
Mailing address
3624 SAWGRASS TRL S, EAGAN, MN 55123-1365
(651) 493-8443
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R130635-0
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
CRNA1988
MN
Other
Enumeration date
12/18/2016
Last updated
12/18/2016
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