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Overview
Name: MELISSA HANSEN C.P.N.P. Specialty: Pediatric Nurse Practitioner Type of Practice: Individual provider Provider/Org: Medical School: Graduation year from medical school: Affiliation:
Specialties
Practice Type: Physician Assistants & Advanced Practice Nursing Providers Classification: Nurse Practitioner Specialization: Pediatrics. Definition of Specialty: Definition to come…
License & NPI
License #(s): R115625-4, , , , License State(s): MN, , , ,
Addresses
Practice Location: 14135 CEDAR AVE,SUITE 100,APPLE VALLEY,MN,551244522,US Mailing Address: 14135 CEDAR AVE,SUITE 100,APPLE VALLEY,MN,551244522,US
Contact #
Practice location phone #: 9524324373 Practice location fax #: 9529975679 Mailing address Phone #: 9524324373 Mailing Address fax #: 9529975679 Authorized official Name/Telephone #:
Misc
Date NPI was obtained: 08/19/2005 Last data data was updated: 10/25/2012 Insurances:

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