Provider Demographics
NPI:1760031850
Name:DINKEL, MELISSA MARIE (APRN, CRNA)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:MARIE
Last Name:DINKEL
Suffix:
Gender:F
Credentials:APRN, CRNA
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:MARIE
Other - Last Name:SCHURING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MELISSA MARIE FIEGEN
Mailing Address - Street 1:2525 CHICAGO AVENUE SOUTH
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55404-4518
Mailing Address - Country:US
Mailing Address - Phone:612-813-6273
Mailing Address - Fax:
Practice Address - Street 1:2525 CHICAGO AVENUE SOUTH
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55404-4518
Practice Address - Country:US
Practice Address - Phone:612-813-6273
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-10
Last Update Date:2023-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2016335367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered