Ms Melissa Hanner Frisvold, CNM | |
921 Greeley St S, Stillwater, MN 55082-5935 | |
(651) 439-1234 | |
(651) 439-1547 |
Full Name | Ms Melissa Hanner Frisvold |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 921 Greeley St S, Stillwater, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528041043 | NPI | - | NPPES |
070912300 | Medicaid | MN | |
43918100 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | R1182312 (Minnesota) | Primary |
Entity Name | Western Wisconsin Medical Associates |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1255324752 PECOS PAC ID: 8224939665 Enrollment ID: O20040119000047 |
Mailing Address | Practice Location Address |
---|---|
Ms Melissa Hanner Frisvold, CNM 1687e Division St, River Falls, WI 54022-1571 Ph: (715) 425-6701 | Ms Melissa Hanner Frisvold, CNM 921 Greeley St S, Stillwater, MN 55082-5935 Ph: (651) 439-1234 |
Ms. Fern Marie Aspen, CNM Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 921 Greeley St S, Stillwater, MN 55082 Phone: 651-439-1234 Fax: 651-439-1547 | |
Heather Dejarnett, Advanced Practice Midwife Medicare: Accepting Medicare Assignments Practice Location: 5640 Memorial Ave N, Suite B, Stillwater, MN 55082 Phone: 651-430-1880 | |
Ms. Michelle Deanne Rice, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 921 Greeley St S, Stillwater, MN 55082 Phone: 651-439-1234 |