Melissa Marie Bellovary, lpn
Licensed Practical Nurse in Elk Mound, WI. Individual provider (NPI-1).
NPI number1124232178
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124232178
- Entity type
- Individual (NPI-1)
- Name
- Melissa Marie Bellovary
- Credential
- lpn
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 9, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | 303455-31 | WI | Yes |
Practice location
N3765 947th StElk Mound, WI 54739-4500
Phone 715-874-4482
Mailing address
N3765 947th StElk Mound, WI 54739-4500
Phone 715-874-4482
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