Frisvold, Melissa Hanner

Frisvold, Melissa Hanner is an individual health care provider with primary practice located at 921 Greeley St S , Stillwater MN 55082-5935. 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. Frisvold, Melissa Hanner can be contacted via phone (651) 439-1234.

Contact Information

Primary practice address
921 Greeley St S Stillwater MN 55082-5935
Phone: (651) 439-1234
Fax: (651) 439-1547
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X R1182312 Minnesota

Profile Details

NPI number 1528041043
LBN Legal business name Frisvold, Melissa Hanner
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2005
Last updated Dec 30th, 2015 - about 10 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 1528041043 NPPES
Minnesota MEDICAID 070912300
Minnesota MEDICAID 43918100

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