NPI 1811240138 · live from the CMS NPI Registry
Julie D Campomizzi, PA-C
Physician Assistant in Duluth, MN. National Provider Identifier 1811240138, active.
NPI record
| NPI | 1811240138 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 400 E 3rd St, Duluth, MN 55805 |
| Practice phone | 218-786-8364 |
| Mailing address | 1702 University Dr S, Fargo, ND 58103 |
| Enumerated | October 24, 2012 |
| Last updated | October 21, 2019 |
| Sole proprietor | No |
| Other names | Julie Mellin |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | 13099 (MN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.