Search › Minnesota › 363L00000X
Melissa Wagner, ACNP
NPI 1366763708 · on the registry since 2010
Practice
- Address
- 8100 Northland Dr
Bloomington, MN 55431 - Phone
- (952) 831-8742
- Organisation at this address
- Tria Orthopaedic Center
Tria Orthopaedic Center Llc
Tria Orthopaedic Center Llc
Park Nicollet Health Care ProductsInferred from a shared address, not stated in the registry. - Clinicians at this address
- 147
Additional practice sites
- 400 S Kingshighway Blvd, Saint Louis, MO
Registry record
- Primary taxonomy
- 363L00000X
363L00000X
- Also registered as
- 363LA2100X
- Licence states on file
- MO, MN
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Minnesota