Individual
MELISSA KAE MATTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CRNA, DNAP
Contact information
Practice address
1300 ANNE ST NW, BEMIDJI, MN 56601-5103
(543) 021-8751
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2026176
MN
367500000X
Certified Registered Nurse Anesthetist
Primary
2592
MN
Other
Enumeration date
02/07/2021
Last updated
12/03/2021
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