Strom, Melissa

Strom, Melissa is an individual health care provider with primary practice located at 128 Bucklin St , La Salle IL 61301-2389. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Strom, Melissa can be contacted via phone (815) 220-7170.

Contact Information

Primary practice address
128 Bucklin St La Salle IL 61301-2389
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2 Illinois

Profile Details

NPI number 1306219209
LBN Legal business name Strom, Melissa
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2015
Last updated Dec 26th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1306219209 NPPES
Illinois MEDICAID 362852553

Popular Providers