Individual
MELISSA GUTWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
810 S 6TH ST, MONTICELLO, IN 47960-8201
(574) 583-6543
(574) 583-9502
Mailing address
1200 W WHITE RIVER BLVD, MUNCIE, IN 47303-4988
(765) 747-4492
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28206966A
IN
363LF0000X
Family Nurse Practitioner
Primary
71010101A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300040623
—
IN
01
—
815500412
MEDICARE PTAN
IN
01
—
P02587846
RAILROAD PTAN
IN
Enumeration date
06/01/2020
Last updated
04/25/2023
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