Individual
MRS. MELISSA R KNUTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-4112
Mailing address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-4112
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
14874-33
WI
Other
Enumeration date
12/28/2023
Last updated
06/25/2024
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