Individual
MELISSA A L THORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CCNS CCRN CNRN
Contact information
Practice address
3300 OAKDALE AVE NORTH, NORTH MEMORIAL HEALTH CARE, ROBBINSDALE, MN 55422
(763) 520-7647
(763) 520-1022
Mailing address
3300 OAKDALE AVE N, ROBBINSDALE, MN 55422-2926
(763) 581-3700
(763) 581-3701
Taxonomy
Speciality
Code
Description
License number
State
2086S0102X
Surgical Critical Care Physician
Primary
372
MN
364SC0200X
Critical Care Medicine Clinical Nurse Specialist
141658-3
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0406882
MEDICA
—
01
—
41258500
WIMA
—
05
—
582463000
—
MN
01
—
945SBLE
BLUE CROSS BLUE SHIELD
—
01
—
965321041
PREFERRED ONE
—
01
—
HP49497
HEALTH PARTNERS
—
Enumeration date
09/22/2006
Last updated
01/29/2021
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