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MELISSA CHESMORE

Psychiatric/Mental Health >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1831404474

Individual Registrant:
 MELISSA  CHESMORE 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1002 LINCOLN AVE  BARABOO, WI 53913-1808 US
Tel: 608-356-9055  Fax: 608-356-5447

Contact information for business:
1002 LINCOLN AVE  BARABOO, WI 53913-1808 US
Tel: 608-356-9055  Fax: 608-356-5447

Registration Information:
NPI: 1831404474
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LP0808XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Psychiatric/Mental Health
WI676233

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
1831404474WI05




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