Koch, Melina Docto Canlas

Koch, Melina Docto Canlas is an individual health care provider with primary practice located at 401 Phalen Blvd - Ms 41102D Healthpartners Specialty Center 401, St. Paul MN 55130-5302. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Adult Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Koch, Melina Docto Canlas can be contacted via phone (651) 254-7670.

Contact Information

Primary practice address
401 Phalen Blvd - Ms 41102D Healthpartners Specialty Center 401 St. Paul MN 55130-5302
Phone: (651) 254-7670
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2007007786-21 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2007007785 Minnesota

Profile Details

NPI number 1376716407
LBN Legal business name Koch, Melina Docto Canlas
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 9th, 2008
Last updated Dec 1st, 2011 - 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 1376716407 NPPES
Other 2007007785 GERONTOLOGICAL NURSE PRAC
Other 2007007786-21 GERONTOLOGICAL NURSE PRAC

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