Individual
MELISSA A BURGESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9550 UPLAND LN N, MAPLE GROVE, MN 55369-4481
(763) 537-6000
Mailing address
2104 NORTHDALE BLVD NW STE 220, COON RAPIDS, MN 55433-3046
(763) 537-6000
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6240
MN
Other
Enumeration date
09/20/2018
Last updated
07/30/2019
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