person
Melissa Marie Ekholm
Pediatric Nurse Practitioner in St Louis Park, Minnesota
NPI 1932208436

Melissa Marie Ekholm is a Pediatric Nurse Practitioner based in St Louis Park, MN and is specialized in Pediatrics. Melissa Marie Ekholm practices in St Louis Park, MN. The NPI Number for Melissa Marie Ekholm is 1932208436 and holds a License No. R157852-8 (Minnesota).

The current practice location address for Melissa Marie Ekholm is 6500 Excelsior Blvd, St Louis Park, MN and can be reached out via phone at 952-993-1000.

Location: 6500 Excelsior Blvd, St Louis Park, MN, 55426-4702
person
Provider Profile Details
NPI Number
1932208436
Provider Name
Melissa Marie Ekholm
Credential
Provider Entity Type
Individual
Gender
Female
Address
6500 Excelsior Blvd, St Louis Park, MN, 55426-4702
Phone Number
952-993-1000
Fax Number
Provider Enumeration Date
09/21/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ENROLLED 05 MN
ENROLLED 05 IA
institution
Provider Business Practice Location Address Details
Address
6500 Excelsior Blvd
City
State
Zip
55426-4702
Phone Number
952-993-1000
Fax Number
person
Provider Business Mailing Address Details
Address
6500 Excelsior Blvd
City
State
Zip
55426-4702
Phone Number
952-993-1000
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Neonatal
Taxonomy
License No.
R1578528 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Pediatrics
Taxonomy
License No.
R157852-8 (Minnesota)
Definition
Definition to come...
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