Individual
MELISSA CHESMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8102 WELLNESS WAY, MADISON, WI 53719-8800
(608) 417-8777
Mailing address
1002 LINCOLN AVE, BARABOO, WI 53913-1808
(608) 356-9055
(608) 356-5447
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
676233
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1831404474
—
WI
Enumeration date
08/06/2010
Last updated
07/31/2023
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