Individual
MELISSA BOLLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12700 WHITEWATER DR, MINNETONKA, MN 55343-9438
(612) 289-2385
(844) 897-5371
Mailing address
12700 WHITEWATER DR, MINNETONKA, MN 55343-9438
(612) 289-2385
(844) 897-5371
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
6493
MN
Other
Enumeration date
03/19/2019
Last updated
10/25/2019
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