Provider Demographics
NPI:1437404795
Name:KNECHT, MELISSA ANN (FNP-C)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:ANN
Last Name:KNECHT
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:MRS
Other - First Name:MELISSA
Other - Middle Name:ANN
Other - Last Name:KNECHT-SAVEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:3625 LINCOLN ST. S.
Mailing Address - Street 2:STE. C
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58104
Mailing Address - Country:US
Mailing Address - Phone:701-630-8821
Mailing Address - Fax:701-543-6047
Practice Address - Street 1:3625 LINCOLN ST. S.
Practice Address - Street 2:STE. C
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58104
Practice Address - Country:US
Practice Address - Phone:701-630-8821
Practice Address - Fax:701-543-6047
Is Sole Proprietor?:No
Enumeration Date:2012-07-23
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDR32949363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND1461637Medicaid
NDR32949OtherND APRN NUMBER
ND1471054Medicaid