| NPI | 1265912943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARISSA JO QUNELL C RN A 612-558-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: MN 742) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |