Melanie L Mattingly, CRNA
NPI #1043267511 in Saint Paul, Minnesota
Provider Information
- NPI Number
- 1043267511
- Entity Type
- Individual
- Name
- Melanie L Mattingly, CRNA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Anesthetist, Certified Registered
- Credential
- CRNA
- Enumeration Date
- May 28, 2006
- Last Updated
- Jan 28, 2010
Practice Location
- Address
- 640 JACKSON ST
- Address 2
- MAIL STOP 11503P
- City
- Saint Paul
- State
- Minnesota
- ZIP Code
- 55101-2502
- Phone
- (651) 254-3456
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Anesthetist, Certified Registered |
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