Individual
MELINDA ALICE DEYE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APNP
Contact information
Practice address
257 W SAINT GEORGE AVE, GRANTSBURG, WI 54840-7827
(715) 463-5317
(715) 463-7335
Mailing address
257 W SAINT GEORGE AVE, GRANTSBURG, WI 54840-7827
(715) 463-5317
(715) 463-7335
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3504-33
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1801056288
—
MN
05
—
36097300
—
WI
Enumeration date
06/10/2008
Last updated
12/14/2012
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