Individual
MELISSA SUE CONNELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, ARNP
Contact information
Practice address
1111 6TH AVE STE A100, DES MOINES, IA 50314-2610
(515) 358-0011
(515) 358-0099
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 358-0011
(515) 358-0099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A163840
IA
363LF0000X
Family Nurse Practitioner
SP015406
PA
Other
Enumeration date
01/08/2016
Last updated
11/21/2021
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