Gregory S Mellesmoen in Maple Grove - Nurse Anesthetist, Certified Registered
Gregory S Mellesmoen - NPI 1689633919
Gregory S Mellesmoen is a Nurse Anesthetist, Certified Registered in Maple Grove, Minnesota. Gregory S Mellesmoen practices all healthcare services and medical treatments related to Nurse Anesthetist, Certified Registered. The NPI Number for Gregory S Mellesmoen is 1689633919. The last update date is 2018-06-13.
Gregory S Mellesmoen's current location address is 9645 Grove Cir N Ste 250, Maple Grove, Minnesota. You can contact this provider via phone number 7632018191 and fax number 7632018192. The mailing address for Gregory S Mellesmoen is 9645 Grove Cir N Ste 250, Maple Grove, Minnesota. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregory S Mellesmoen |
|---|---|
| Address | 9645 Grove Cir N Ste 250, Maple Grove, Minnesota |
| Phone Number | 7632018191 |
| Fax Number | 7632018192 |
| Sole Proprietor | N |
| Credentials | CRNA |
NPI Number Detail
| NPI Number | 1689633919 |
|---|---|
| Provider Enumeration Date | 2006-03-23 |
| Last Updated Date | 2018-06-13 |
Provider Mailing Address Detail
| Address | 9645 Grove Cir N Ste 250 |
|---|---|
| City | Maple Grove |
| State | Minnesota (MN) |
| Post Code | 553694466 |
| Phone Number | 7632018191 |
| Fax Number | 7632018192 |
Provider's Primary Taxonomy Detail
| Speciality | Nurse Anesthetist, Certified Registered |
|---|---|
| Taxonomy | 367500000X |
| Licence No | R0779700 |
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Definition: (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 937843000 | MN | -- |
Post Comment/ Review Below
What is the Gregory S Mellesmoen's 1689633919?
The Gregory S Mellesmoen's NPI (National Provider Identifier) Number is 1689633919. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Gregory S Mellesmoen is physically located?
The Gregory S Mellesmoen is physically situated at the following address: 9645 Grove Cir N Ste 250, Maple Grove, MN, 553694466.
What is the Gregory S Mellesmoen's area of specialization and corresponding taxonomy classification?
The Gregory S Mellesmoen's specialty field is Nurse Anesthetist, Certified Registered, and it falls under the taxonomy code 367500000X, which categorizes healthcare providers based on their specialties.
On what date did the Gregory S Mellesmoen receive the assignment of its 1689633919 from the Centers for Medicare & Medicaid Services?
The Gregory S Mellesmoen was issued its 1689633919 by the Centers for Medicare & Medicaid Services on 2006-03-23.
As of what date were the details pertaining to Gregory S Mellesmoen last refreshed?
The information related to the Gregory S Mellesmoen, including its address, specialty, and other relevant details, was last updated on 2018-06-13.
NPI Number: 1932102142
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