Individual
JENNIFER L STOTESBERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
420 DELAWARE ST SE, MINNEAPOLIS, MN 55455-0341
(612) 273-3000
Mailing address
5024 BLOOMINGTON AVE, MINNEAPOLIS, MN 55417-1158
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
R1583050
MN
Other
Enumeration date
10/09/2007
Last updated
10/09/2007
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