Individual provider · Type 1 NPI

Melissa Anne Bordenave, WHNP-BC

Women's Health Nurse Practitioner · Woodbury, MN

NPI number 1114297215 Active

Practice location

1795 Radio Dr, Suite D
Woodbury, MN 55125-9414

Mailing address

931 12th Ave SE
Forest Lake, MN 55025-1922

Specialties and licenses

TaxonomyCodeLicense
Women's Health Nurse Practitioner Primary 363LW0102XBOR104320461 (IL)

Women's Health Nurse Practitioner: Definition to come...

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About NPI 1114297215

Melissa Anne Bordenave, WHNP-BC's National Provider Identifier is 1114297215, issued on Jan 5, 2012. The primary taxonomy on file is Women's Health Nurse Practitioner (363LW0102X), and the practice location is in Woodbury, MN. The record was last updated on Jan 5, 2012.