Maki, Melissa Ann

Maki, Melissa Ann is an individual health care provider with primary practice located at 4899 Miller Trunk Hwy Ste 208 , Hermantown MN 55811-1582. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Maki, Melissa Ann can be contacted via phone (218) 727-3888.

Contact Information

Primary practice address
4899 Miller Trunk Hwy Ste 208 Hermantown MN 55811-1582
Phone: (218) 727-3888
Fax: (218) 260-4772
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X R128720-4 Minnesota

Profile Details

NPI number 1770683963
LBN Legal business name Maki, Melissa Ann
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2006
Last updated Mar 24th, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770683963 NPPES
Minnesota MEDICAID 034023500

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