Individual
MELLEN TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9900 BREN RD E, MINNETONKA, MN 55343-9664
(800) 456-5653
Mailing address
9900 BREN RD E, MINNETONKA, MN 55343-9664
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN210421
GA
363LF0000X
Family Nurse Practitioner
Primary
RN210421
GA
Other
Enumeration date
08/14/2019
Last updated
10/09/2025
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