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Contact Information

MELISSA M FOFANA, FNP-C
1701 38TH ST S STE 101
FARGO, ND58103-4499
 Phone: 701-356-1500
 Fax: 701-356-1596
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Registered Nurse

163W00000X
Indicates primary specialty

NPI Profile & details for MELISSA M FOFANA · (Female)

NPI Number 1053026070
Status Active
Credentials FNP-C (Family Nurse Practitioner, Certified)
Entity Individual
Enumeration date 01/16/2023
Last updated 11/26/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MN License # 2367107
  • MN License # 9983
  • ND License # R38049
  • MN Medicaid 1053026070
  • ND Medicaid 1488848
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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