IndividualActive
Melissa Koebernick
NPI 1114664307 · Attendant Care Provider · Menahga, MN
Provider details
- NPI number
- 1114664307
- Entity type
- Individual
- Primary specialty
- Attendant Care ProviderNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Nursing Service Related Providers
Practice location
13021 110th St
Menahga, MN 56464-3586
Phone: (218) 564-5920
Approximate (ZIP-level) locationGet directions
Mailing address
13021 110th St
Menahga, MN 56464-3586
Registry dates
- Enumerated
- 2022-05-18
- Last updated
- 2022-05-18
- Certified
- 2022-05-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.