Individual
MELISSA R ERDMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3274 51ST ST S, FARGO, ND 58104-7179
(701) 364-3660
(701) 364-3661
Mailing address
3274 51ST ST S, FARGO, ND 58104-7179
(701) 364-3660
(701) 364-3661
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R1539486
MN
363L00000X
Nurse Practitioner
R28446
ND
363LF0000X
Family Nurse Practitioner
Primary
R28446
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1-27214
MEDICA
—
05
—
19785
—
ND
01
—
28201
BLUE CROSS BLUE SHIELD
ND
01
—
924G5ER
BLUE CROSS BLUE SHIELD
MN
01
—
B20861043118
PREFERRED ONE
—
01
—
HP49296
HEALTHPARTNERS
—
Enumeration date
07/24/2006
Last updated
05/11/2021
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