Individual
MRS. MELISSA ANN FRANK HANSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
106 19TH AVE, SUITE 103, MOLINE, IL 61265-3700
(309) 779-7068
(309) 558-7026
Mailing address
106 19TH AVE, SUITE 103, MOLINE, IL 61265-3700
(309) 779-7068
(309) 558-7026
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
209005544
IL
363L00000X
Nurse Practitioner
Primary
209115544
IL
363L00000X
Nurse Practitioner
A087165
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
045419
HEALTH ALLIANCE
—
05
—
0492025
—
IA
05
—
1912967258
—
IL
01
—
22524
BCBS
IA
05
—
41277877
—
IL
01
—
8122900
BCBS
IL
01
—
P01325214
RR MEDICARE
IA
Enumeration date
03/23/2006
Last updated
02/05/2015
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