TRACY J NELLANS

SAINT CLOUD, MN
NPI1538140728
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  R-144403-4)
Enumeration Date2005-11-07
Last Update Date2007-07-08
Business Address
-- TRACY J NELLANS RN, CRNA
1406 6TH AVE N
SAINT CLOUD, MN 56303-1900
Phone number: 320-251-2700
Mailing Address
-- TRACY J NELLANS RN, CRNA
PO BOX 725
SAINT CLOUD, MN 56302-0725
Phone number: 320-258-3090
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