Melby, Kristin Lee
Melby, Kristin Lee is an individual health care provider with primary practice located at 701 E Rosser Ave , Bismarck ND 58501-4461. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Melby, Kristin Lee can be contacted via phone (701) 751-9500.Contact Information
Primary practice address
701 E Rosser Ave
Bismarck ND 58501-4461
Phone: (701) 751-9500
Fax: (701) 751-9508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | R25527 | North Dakota |
Profile Details
| NPI number | 1114974987 |
|---|---|
| LBN Legal business name | Melby, Kristin Lee |
| Credentials | FP-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | Apr 22nd, 2014 - about 12 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 | 1114974987 | NPPES |
| North Dakota | MEDICAID | 19600 |
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