Individual
MELISSA JEAN SHEPARD
Active
Sole proprietor
Yes
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
4358 SHERIDAN AVE N, MINNEAPOLIS, MN 55412-1026
(612) 521-9720
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1441435
MN
Other
Enumeration date
07/07/2008
Last updated
09/23/2008
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