Anna Melnichuk
Nurse Practitioner - Adult Health
6500 Excelsior Blvd
St Louis Park
, Minnesota 55426-4702
Anna Melnichuk
Nurse Practitioner - Adult Health
6500 Excelsior Blvd
St Louis Park
, Minnesota 55426-4702
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Anna Melnichuk
- 8170 33rd Ave S # Ms 21110q
- Bloomington, MN
- Zip : 55425-4516
- Phone :
Second Address
- Anna Melnichuk
- 6500 Excelsior Blvd
- St Louis Park, MN
- Zip : 55426-4702
- Fax : (952) 993-3010
- Phone : (952) 993-3246
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Is Anna Melnichuk a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 8161 | MN |
National Provider Identifier
| NPI | 1013591411 |
|---|---|
| Provider Name | Anna Melnichuk |
| First Address | Bloomington, MN 55425-4516 |
| Second Address | St Louis Park, MN 55426-4702 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 11/05/2021 |
| Last Update Date | 02/09/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 8161 | MN BOARD OF NURSING (01) | MN |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.