Individual
KELLY MILBERG NOVAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
200 1ST ST SW, ROCHESTER, MN 55905
(251) 128-4507
Mailing address
200 1ST ST SW, ROCHESTER, MN 55905-0001
(507) 284-2511
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
4704266242
MI
367500000X
Certified Registered Nurse Anesthetist
Primary
2296
MN
367500000X
Certified Registered Nurse Anesthetist
4704266242
MI
Other
Enumeration date
04/19/2015
Last updated
10/15/2020
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