Healthcare Provider Details

I. General information

NPI: 1588821573
Provider Name (Legal Business Name): MELISSA KAY CLAAR CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/19/2008
Last Update Date: 06/14/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 CLEVELAND AVE N STE 222
SAINT PAUL MN
55104-5589
US

IV. Provider business mailing address

1972 PRINCETON AVE
SAINT PAUL MN
55105-1525
US

V. Phone/Fax

Practice location:
  • Phone: 612-208-3706
  • Fax: 833-450-5328
Mailing address:
  • Phone: 651-208-0084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number2280
License Number StateMN
# 2
Primary TaxonomyN
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number2280
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: