Individual
MELISSA MARIE SKELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1601 GOLF COURSE RD, GRAND RAPIDS, MN 55744-8648
(218) 326-3401
Mailing address
24994 CHANNEL HEIGHTS ROAD, COHASSET, MN 55721
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2030764
MN
363LF0000X
Family Nurse Practitioner
Primary
9453
MN
Other
Enumeration date
07/18/2022
Last updated
08/25/2022
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