Avery, Melissa Dodds

Avery, Melissa Dodds is an individual health care provider with primary practice located at 2220 Riverside Ave Mail Stop 31700A, Minneapolis MN 55454-1321. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Avery, Melissa Dodds can be contacted via phone (612) 371-1600.

Contact Information

Primary practice address
2220 Riverside Ave Mail Stop 31700A Minneapolis MN 55454-1321
Phone: (612) 371-1600
Fax: (612) 371-1732
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 0971210 Minnesota

Profile Details

NPI number 1801861133
LBN Legal business name Avery, Melissa Dodds
Credentials CNM PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801861133 NPPES
Minnesota MEDICAID 39540400

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