Individual
MS. MELISSA LOUISE WILSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FAMILY NURSE PRACTIT
Contact information
Practice address
524 SPRUCE STREET UNIT 3, BROOKINGS, OR 97415
(541) 412-3726
(541) 412-3729
Mailing address
15438 SOUTHWIND LANE, BROOKINGS, OR 97415
(541) 412-3726
(541) 412-3729
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
201350121NP
OR
363LF0000X
Family Nurse Practitioner
N32717
ID
367A00000X
Advanced Practice Midwife
N32717
ID
367A00000X
Advanced Practice Midwife
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
806760300
—
ID
05
—
9639428
—
WA
Enumeration date
10/06/2005
Last updated
06/16/2016
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us