Individual
MRS. MELISSA JOHNSON BERTELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007
(507) 377-6301
Mailing address
404 W FOUNTAIN ST, ALBERT LEA, MN 56007-2437
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6254
MN
Other
Enumeration date
10/24/2018
Last updated
09/18/2020
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