Most Relevant Information
Provider Data
| NPI Number: | 1003052218 |
| Provider Name: | MELANIE A FERGUSON CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | R161452-1 |
Most Important Dates
| Enumeration Date: | 12/18/2008 |
| Last Updated: | 10/04/2010 |
Provider Practice Location
69 EXCHANGE ST W
SAINT PAUL
MN
551021004
Practice Location Phone/Fax
| Phone: | 6517350501 |
| Fax: | 6517351870 |
Provider Mailing Location
8681 EAGLE POINT BLVD
LAKE ELMO
MN
550428628
Provider Mailing Phone/Fax
| Phone: | 6512518021 |
| Fax: | 6512518050 |