Provider Demographics
NPI:1760805261
Name:HEINONEN, MELISSA SCHMIDT (FNP)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:SCHMIDT
Last Name:HEINONEN
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:RUTH
Other - Last Name:SCHMIDT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:142 18TH AVE N.
Mailing Address - Street 2:
Mailing Address - City:HOPKINS
Mailing Address - State:MN
Mailing Address - Zip Code:55343
Mailing Address - Country:US
Mailing Address - Phone:801-633-3968
Mailing Address - Fax:
Practice Address - Street 1:5975 CARMEN AVE E
Practice Address - Street 2:DAKOTA PEDIATRICS
Practice Address - City:INVER GROVE HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55076
Practice Address - Country:US
Practice Address - Phone:651-455-9697
Practice Address - Fax:651-455-2012
Is Sole Proprietor?:No
Enumeration Date:2014-02-04
Last Update Date:2014-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR216400-9363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily