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Individual

MELANIE RICHERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
435 PHALEN BLVD, MS51103B, SAINT PAUL, MN 55130-5302
(651) 254-8600
(651) 254-8656
Mailing address
435 PHALEN BLVD, MS51103B, SAINT PAUL, MN 55130-5302
(651) 254-8600
(651) 254-8656

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
CNP 4078
MN
363L00000X
Nurse Practitioner
R1914580
MN

Other

Enumeration date
07/29/2015
Last updated
10/28/2015
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