Individual
HOLLY LYNN LISOWSKI ENGEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7117 WINDGATE RD, WOODBURY, MN 55125-1529
(608) 863-0982
Mailing address
7117 WINDGATE RD, WOODBURY, MN 55125-1529
(608) 863-0982
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2349934
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178872-30
RN LICENSE
WI
01
—
2349934
RN LICENSE
MN
Enumeration date
08/31/2022
Last updated
08/31/2022
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