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MELISSA MAE FAIRCHILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
112 1ST ST W, BEMIDJI, MN 56601
(218) 888-8032
Mailing address
804 HARRISON DR, BIG LAKE, MN 55309-4637
(218) 259-9626
(218) 259-9626

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8225
MN

Other

Enumeration date
06/08/2021
Last updated
07/22/2022
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