EMMY ROSE ELLESTAD

SAINT PAUL, MN
NPI1992074025
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: MN  R1666935)
Enumeration Date2011-12-19
Last Update Date2016-10-17
Business Address
Miss EMMY ROSE ELLESTAD CRNA
333 SMITH AVE N
SAINT PAUL, MN 55102-2344
Phone number: 651-735-0501
Mailing Address
Miss EMMY ROSE ELLESTAD CRNA
6500 EXCELSIOR BLVD
ST LOUIS PARK, MN 55426-4702
Phone number: 651-209-8071