Individual
MICHELLE WHALEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP RN APRN CRNA
Contact information
Practice address
701 PARK AVE # P4, MINNEAPOLIS, MN 55415-1623
(612) 873-3458
Mailing address
640 S 4TH ST APT 542, MINNEAPOLIS, MN 55415-2402
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2108
MN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/10/2017
Last updated
10/03/2018
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