Individual
MISS EMMY ROSE ELLESTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
333 SMITH AVE N, SAINT PAUL, MN 55102-2344
(651) 735-0501
(651) 209-8077
Mailing address
6500 EXCELSIOR BLVD, ST LOUIS PARK, MN 55426-4702
(651) 209-8071
(651) 209-8077
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1666935
MN
Other
Enumeration date
12/19/2011
Last updated
11/24/2025
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