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Contact Information

MELISSA D AVERY, CNM PHD
2220 RIVERSIDE AVE
MAIL STOP 31700A
MINNEAPOLIS, MN55454-1321
 Phone: 612-371-1600
 Fax: 612-371-1732
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Advanced Practice Midwife

367A00000X 42 Certified Nurse Midwife
Indicates primary specialty

NPI Profile & details for MELISSA D AVERY · (Female)

NPI Number 1801861133
Status Active
Credentials CNM PHD
Entity Individual
Enumeration date 02/21/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Not specified
Identifiers
  • MN License # 0971210
  • MN Medicaid 39540400
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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