Individual
MRS. MELISSA MARIE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CRNA
Contact information
Practice address
333 MADISON ST, JOLIET, IL 60435-8200
(815) 725-7133
Mailing address
13888 W WILDWOOD LN, HOMER GLEN, IL 60491-8035
(708) 301-3129
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041351128
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209011035
IL
Other
Enumeration date
10/24/2013
Last updated
05/22/2015
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