Individual
MELISHA ANN VANNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2301 25TH ST S, FARGO, ND 58103-6104
(701) 234-7400
(701) 280-4492
Mailing address
PO BOX 2010, FARGO, ND 58122-2484
(701) 234-2000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5821
MN
363LA2200X
Adult Health Nurse Practitioner
R34508
ND
Other
Enumeration date
02/06/2018
Last updated
08/27/2020
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