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Contact Information

CARLY FELICETTA
8990 SPRINGBROOK DR NW
#250
COON RAPIDS, MN55433
 Phone: 764-360-5348
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for CARLY FELICETTA · (Female)

NPI # 1336490929
Status Active
Credentials
Entity Individual
Enumeration date 09/24/2012
Last updated 09/24/2012 - About 14 years ago
Sole proprietor 1 Yes
Identifiers
  • MN License # 091718
Hospital affiliation(s)
  • ABBOTT NORTHWESTERN HOSPITAL - (Acute Care)
    800 EAST 28TH STREET
    MINNEAPOLIS, MN 55407
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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