Individual
MELISSA MARIE HALVERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, NP-C
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 702-8438
Mailing address
1378 NW 124TH ST, CLIVE, IA 50325-8151
(515) 288-6097
(515) 288-8335
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
209016002
IA
Other
Enumeration date
08/15/2017
Last updated
10/19/2023
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