Individual provider · Type 1 NPI
Annalise Medeles
Specialist · East Grand Forks, MN
NPI number
1043049901
Active
Practice location
418 3rd St NW
East Grand Forks, MN 56721-1713
Mailing address
1547 30th Ave S
Moorhead, MN 56560-5149
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Behavior Technician | 106S00000X | None listed |
| Specialist Primary | 174400000X | None listed |
Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
3 other providers at this address
Other specialist providers in East Grand Forks
About NPI 1043049901
Annalise Medeles's National Provider Identifier is 1043049901, issued on Jul 30, 2024. The primary taxonomy on file is Specialist (174400000X), and the practice location is in East Grand Forks, MN. The record was last updated on Jul 10, 2026.