Provider Demographics
NPI:1063481968
Name:HASLER, MELISSA M (CNM)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:M
Last Name:HASLER
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:M
Other - Last Name:HILDEBRANDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:4252 11TH AVE S
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55407-3212
Mailing Address - Country:US
Mailing Address - Phone:651-326-5650
Mailing Address - Fax:
Practice Address - Street 1:45 SNELLING AVE N
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55104-6842
Practice Address - Country:US
Practice Address - Phone:651-326-5650
Practice Address - Fax:651-326-5671
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR161988-5176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNQ43472Medicare UPIN