Frank Hanssen, Melissa Ann

Frank Hanssen, Melissa Ann is an individual health care provider with primary practice located at 106 19Th Ave Suite 103, Moline IL 61265-3700. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Frank Hanssen, Melissa Ann can be contacted via phone (309) 779-7068.

Contact Information

Primary practice address
106 19Th Ave Suite 103 Moline IL 61265-3700
Phone: (309) 779-7068
Fax: (309) 558-7026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209115544 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209005544 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X A087165 Iowa

Profile Details

NPI number 1912967258
LBN Legal business name Frank Hanssen, Melissa Ann
Credentials NURSE PRACTITIONER
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Feb 5th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912967258 NPPES
Illinois MEDICAID 41277877
Illinois MEDICAID 0492025
Illinois Other 045419
Illinois MEDICAID 1912967258
Illinois Other P01325214
Illinois Other 8122900
Illinois Other 22524

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