Dercks, Melissa A

Dercks, Melissa A is an individual health care provider with primary practice located at 725 S Webster Ave Suite 201, Green Bay WI 54301-3500. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as her primary health care specialty. Dercks, Melissa A can be contacted via phone (920) 430-7100.

Contact Information

Primary practice address
725 S Webster Ave Suite 201 Green Bay WI 54301-3500
Phone: (920) 430-7100
Fax: (920) 430-7114
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 4010-33 Wisconsin

Profile Details

NPI number 1710202577
LBN Legal business name Dercks, Melissa A
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2010
Last updated Jul 14th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710202577 NPPES
Other 2010002130 AMERICAN NURSES CREDENTIALING CENTER
Other 4010-33 AMERICAN NURSES CREDENTIALING CENTER

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