Individual
MELISSA SCALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PMHNP-BC
Contact information
Practice address
1901 W AINSLIE ST APT 1, CHICAGO, IL 60640-3315
(773) 329-1893
Mailing address
1901 W AINSLIE ST APT 1, CHICAGO, IL 60640-3315
(773) 329-1893
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041.374331
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
209.011307
IL
Other
Enumeration date
06/13/2014
Last updated
06/13/2014
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