Individual
MS. MELISSA HANNER FRISVOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
921 GREELEY ST S, STILLWATER, MN 55082-5935
(651) 439-1234
(651) 439-1547
Mailing address
1687E DIVISION ST, RIVER FALLS, WI 54022-1571
(715) 425-6701
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
R1182312
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070912300
—
MN
05
—
43918100
—
WI
Enumeration date
11/29/2005
Last updated
12/30/2015
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