Avery, Melissa Dodds
Avery, Melissa Dodds is an individual health care provider with primary practice located at 2220 Riverside Ave Mail Stop 31700A, Minneapolis MN 55454-1321. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Avery, Melissa Dodds can be contacted via phone (612) 371-1600.Contact Information
Primary practice address
2220 Riverside Ave Mail Stop 31700A
Minneapolis MN 55454-1321
Phone: (612) 371-1600
Fax: (612) 371-1732
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | 0971210 | Minnesota |
Profile Details
| NPI number | 1801861133 |
|---|---|
| LBN Legal business name | Avery, Melissa Dodds |
| Credentials | CNM PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1801861133 | NPPES |
| Minnesota | MEDICAID | 39540400 |
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