Individual
MEVHIBE MERAL ATAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P., PHD
Contact information
Practice address
111 HUNDERTMARK RD STE 440, CHASKA, MN 55318-1460
(952) 856-4033
(952) 856-4034
Mailing address
500 S MAPLE ST, ATTN: MEDICAL STAFF OFFICE, WACONIA, MN 55387-1791
(952) 442-2191
(952) 442-8055
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
2792
MN
363LA2200X
Adult Health Nurse Practitioner
162274-6
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104224666
—
MN
Enumeration date
12/16/2014
Last updated
03/04/2020
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