Visser, Melody

Visser, Melody is an individual health care provider with primary practice located at 28 N 64Th St , Belleville IL 62223-3808. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Visser, Melody can be contacted via phone (314) 991-0985.

Contact Information

Primary practice address
28 N 64Th St Belleville IL 62223-3808
Phone: (314) 991-0985
Fax: (908) 653-9305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 090437 Missouri

Profile Details

NPI number 1184837056
LBN Legal business name Visser, Melody
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 8th, 2007
Last updated Jul 8th, 2007 - about 18 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 1184837056 NPPES
Missouri Other 090437 MEDICAL LICENSE

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