Individual
NOLAN ANDREW DENNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
435 PHALEN BLVD, SAINT PAUL, MN 55130-5302
(651) 254-8080
Mailing address
PO BOX 47159, PLYMOUTH, MN 55447-0159
(763) 559-3779
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1936076
MN
367500000X
Certified Registered Nurse Anesthetist
13530-33
WI
367500000X
Certified Registered Nurse Anesthetist
2324
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
242738-30
WI
Other
Enumeration date
01/24/2019
Last updated
11/21/2024
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