Individual
MELISSA ELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1237 W DIVIDE AVE STE 5, BISMARCK, ND 58501-1208
(701) 328-8888
Mailing address
1237 W DIVIDE AVE STE 5, BISMARCK, ND 58501-1208
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R42179
ND
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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