Individual
MS. MELANIE J DUNLAP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
4670 PARK NICOLLET AVE SE, PRIOR LAKE, MN 55372-4119
(952) 993-7750
(952) 993-8820
Mailing address
4670 PARK NICOLLET AVE SE, PRIOR LAKE, MN 55372-4119
(952) 993-7750
(952) 993-8820
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R081181-7
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R0811817
MN LIC NUMBER
MN
Enumeration date
07/19/2006
Last updated
04/01/2008
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