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Mrs. Melina Docto Canlas Koch, NP
Gerontology Nurse Practitioner in St. Paul, Minnesota
NPI 1376716407

Melina Docto Canlas Koch is a Gerontology Nurse Practitioner based in Minneapolis, MN and is specialized in Gerontology. Melina Docto Canlas Koch practices in St. Paul, MN and has the professional credentials of NP. The NPI Number for Melina Docto Canlas Koch is 1376716407 and holds a License No. 2007007786-21 (Minnesota).

The current practice location address for Melina Docto Canlas Koch is 401 Phalen Blvd - Ms 41102D, St. Paul, MN and can be reached out via phone at 651-254-7670.

Location: 401 Phalen Blvd - Ms 41102D, St. Paul, MN, 55425-4516
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Provider Profile Details
NPI Number
1376716407
Provider Name
Melina Docto Canlas Koch
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
401 Phalen Blvd - Ms 41102D, St. Paul, MN, 55425-4516
Phone Number
651-254-7670
Fax Number
Provider Enumeration Date
04/09/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2007007785 01 GERONTOLOGICAL NURSE PRAC
2007007786-21 01 ADULT NURSE PRACTITIONER
institution
Provider Business Practice Location Address Details
Address
401 Phalen Blvd - Ms 41102D
City
State
Zip
55130-5302
Phone Number
651-254-7670
Fax Number
person
Provider Business Mailing Address Details
Address
401 Phalen Blvd - Ms 41102D
City
State
Zip
55130-5302
Phone Number
651-254-7670
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Adult Health
Taxonomy
License No.
2007007785 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Gerontology
Taxonomy
License No.
2007007786-21 (Minnesota)
Definition
Definition to come...
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