Individual
MELISSA A VIRNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CNP
Contact information
Practice address
7115 FORTHUN ROAD, SUITE 105, BAXTER, MN 56425
(218) 454-0090
(218) 454-0091
Mailing address
7115 FORTHUN ROAD, SUITE 105, BAXTER, MN 56425
(218) 454-0090
(218) 454-0091
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
R141902-7
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R 141902-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
237180000
—
MN
Enumeration date
08/03/2006
Last updated
08/04/2024
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