Individual
MELISSA BETH CUMMINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APN-FNP-C
Contact information
Practice address
608 LAKE ST S STE D, FOREST LAKE, MN 55025-2666
(651) 464-6444
Mailing address
608 LAKE ST S STE D, FOREST LAKE, MN 55025-2666
(651) 247-0677
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11036
MN
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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