Provider Demographics
NPI:1902281439
Name:HAYES, MELISSA JEANNETTE (FNP-C)
Entity Type:Individual
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First Name:MELISSA
Middle Name:JEANNETTE
Last Name:HAYES
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Gender:F
Credentials:FNP-C
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Mailing Address - Street 1:MCCANNEL HALL ROOM 100
Mailing Address - Street 2:2891 2ND AVE N STOP 9038
Mailing Address - City:GRAND FORKS
Mailing Address - State:ND
Mailing Address - Zip Code:58202-9038
Mailing Address - Country:US
Mailing Address - Phone:701-777-4500
Mailing Address - Fax:701-777-4835
Practice Address - Street 1:MCCANNEL HALL ROOM 100
Practice Address - Street 2:2891 2ND AVE N STOP 9038
Practice Address - City:GRAND FORKS
Practice Address - State:ND
Practice Address - Zip Code:58202-9038
Practice Address - Country:US
Practice Address - Phone:701-777-4500
Practice Address - Fax:017-774-8357
Is Sole Proprietor?:No
Enumeration Date:2015-07-27
Last Update Date:2021-05-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MNCNP 3934363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner