MELISSA BOLLES


Address: 12700 Whitewater Dr, Minnetonka, MN 55343-9438
Phone: 6122892385

MELISSA BOLLES (NPI# 1699234609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1699234609
Entity Type Individual
Full Name MELISSA BOLLES
Practice Address 12700 Whitewater Dr
Minnetonka
MN 55343-9438
Practice Telephone 6122892385
Practice Fax Number 8448975371
Mailing Telephone 6122892385
Mailing Fax Number 8448975371
Enumeration Date 2019-03-19
Last Update Date 2019-10-25
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
6493 MN Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
26219 150th St Nw, Zimmerman, MN 553988319 6122476014

Office Location

Street Address 12700 WHITEWATER DR
City MINNETONKA
State MN
Zip Code 55343-9438

Providers in the same location

NPI Name Taxonomy Address Enumeration
1164896379 Brooke Johnson Nurse Practitioner 12700 Whitewater Dr, Minnetonka, MN 55343-9438 2015-11-25

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1689230542 Madison C Korus Behavior Technician 5501 Feltl Road, Minnetonka, MN 55343 2019-05-16
1942708508 Teammd Physicians of Texas Inc Case Manager/Care Coordinator 9900 Bren Rd E # 8-b217, Minnetonka, MN 55343 2018-01-30
1659899284 Midwest Medical Transit Transportation Broker 1001 Main Street #125, Hopkins, MN 55343 2017-09-04
1376070367 Noor Translation and Interpretation Services LLC Interpreter 5620 Smetana Drive, Ste 300, Office D, Minnetonka, MN 55343 2017-05-22
1871043240 Katherine Rae Skarphol Speech-Language Pathologist 5501 Feltl Rd, Hopkins, MN 55343 2016-10-10
1215481478 Safi Care Transportation Non-emergency Medical Transport (VAN) 1001 Mainstreet, Ste 125, Hopkins, MN 55343 2016-08-05
1649723420 Stephanie Stackhouse Internal Medicine 5520 Bristol Lane, Minnetonka, MN 55343 2016-07-28
1023479706 Counter Point Recovery Substance Abuse Rehabilitation Facility 5022 Baker Rd, Minnetonka, MN 55343 2016-03-09
1851766356 Enrique Mendoza Rojas Nurse Practitioner 9900 Ben Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343 2015-12-09
1013307230 Susanna Monroe Nurse Practitioner Unitedhealth Group Corporate Address, 9900 Bren Road East, Minnetonka, MN 55343 2015-01-26
Find all providers in zip 55343

Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1164896379 Brooke Johnson Nurse Practitioner 12700 Whitewater Dr, Minnetonka, MN 55343-9438 2015-11-25
1649446246 Leigh Hammond Nurse Practitioner 9900 Bren Road East Mail Route Mn 008-b213, Minnetonka, MN 55343-9664 2008-05-02
1902894348 Suzanne M Oliver Nurse Practitioner 401 Carlson Pkwy, Mail Route Cp320, Minnetonka, MN 55305-5359 2005-10-10
1689148942 Vanessa Ann Figueroa Nurse Practitioner 9900 Bren Rd E, Minnetonka, MN 55343-9664 2019-01-18
1083184709 Leah Rose Brown Nurse Practitioner 9900 Bren Rd E, Minnetonka, MN 55343-9664 2018-11-26
1699241752 Kim B Lackey Nurse Practitioner 9900 Bren Rd E, Minnetonka, MN 55343-9664 2018-10-16
1487135059 Ada Y. Martinez Nurse Practitioner 9900 Bren Rd E, Minnetonka, MN 55343-9664 2018-08-22
1720585326 Amy Marie Ringwald Nurse Practitioner 401 Carlson Pkwy, Minnetonka, MN 55305-5359 2018-04-10
1497268429 Erin Watts Nurse Practitioner 9900 Bren Road East, Mail Route Mn 008-b213, Minnetonka, MN 55343-1357 2017-11-13
1174058531 Patre D Williams Nurse Practitioner 9900 Bren Rd E, Minnetonka, MN 55343-9664 2017-04-24
Find all providers in MINNETONKA

Competitor

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City MINNETONKA
Zip Code 55343

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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