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Anna Melnichuk
Adult Health Nurse Practitioner in St Louis Park, Minnesota
NPI 1013591411

Anna Melnichuk is an Adult Health Nurse Practitioner based in Bloomington, MN and is specialized in Adult Health. Anna Melnichuk practices in St Louis Park, MN. The NPI Number for Anna Melnichuk is 1013591411 and holds a License No. 8161 (Minnesota).

The current practice location address for Anna Melnichuk is 6500 Excelsior Blvd, St Louis Park, MN and can be reached out via phone at 952-993-3246 and via fax at 952-993-3010.

Location: 6500 Excelsior Blvd, St Louis Park, MN, 55425-4516
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1013591411
Provider Name
Anna Melnichuk
Credential
Provider Entity Type
Individual
Gender
Female
Address
6500 Excelsior Blvd, St Louis Park, MN, 55425-4516
Phone Number
952-993-3246
Fax Number
952-993-3010
Provider Enumeration Date
05/11/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8161 01 MN MN BOARD OF NURSING
institution
Provider Business Practice Location Address Details
Address
6500 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55426-4702
Phone Number
952-993-3246
Fax Number
952-993-3010
person
Provider Business Mailing Address Details
Address
6500 Excelsior Blvd
City
St Louis Park
State
Minnesota
Zip
55426-4702
Phone Number
952-993-3246
Fax Number
952-993-3010
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
363LA2200X
License No.
8161 (Minnesota)
Definition
Definition to come...
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