Brusacoram, Melissa Sue

Brusacoram, Melissa Sue is an sole proprietor health care provider with primary practice located at 118 W Lake St , Chisholm MN 55719-1819. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Brusacoram, Melissa Sue can be contacted via phone (218) 254-0101.

Contact Information

Primary practice address
118 W Lake St Chisholm MN 55719-1819
Phone: (218) 254-0101
Fax: (844) 921-1071
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 2100555 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 7331 Minnesota

Profile Details

NPI number 1962051359
LBN Legal business name Brusacoram, Melissa Sue
Credentials APRN, CNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2019
Last updated Jul 16th, 2021 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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