Individual
KRISTA LYNNE ROELLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455
(612) 626-3000
Mailing address
2450 RIVERSIDE AVE, MINNEAPOLIS, MN 55454-1450
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R126984-0
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430005451
—
MN
Enumeration date
03/09/2006
Last updated
06/13/2018
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