Individual
MELISSA KAISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
REGISTERED NURSE
Contact information
Practice address
91 MAPLE RIDGE DR, MORTON, IL 61550-1164
(309) 360-9240
Mailing address
91 MAPLE RIDGE DR, MORTON, IL 61550-1164
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
041.340621
IL
Other
Enumeration date
02/05/2024
Last updated
02/05/2024
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