Hansen, Melissa

Hansen, Melissa is an individual health care provider with primary practice located at 14135 Cedar Ave Suite 100, Apple Valley MN 55124-4522. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Hansen, Melissa can be contacted via phone (952) 432-4373.

Contact Information

Primary practice address
14135 Cedar Ave Suite 100 Apple Valley MN 55124-4522
Phone: (952) 432-4373
Fax: (952) 997-5679
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X R115625-4 Minnesota

Profile Details

NPI number 1760474258
LBN Legal business name Hansen, Melissa
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Oct 25th, 2012 - about 13 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 1760474258 NPPES
Minnesota MEDICAID 605323800

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