Mels, Stacey Melissa

Mels, Stacey Melissa is an individual health care provider with primary practice located at 253 Sagamore Pkwy W , West Lafayette IN 47906. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Mels, Stacey Melissa can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
253 Sagamore Pkwy W West Lafayette IN 47906
Phone: (765) 448-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28222616A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 71008063A Indiana

Profile Details

NPI number 1114421161
LBN Legal business name Mels, Stacey Melissa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 22nd, 2018
Last updated Mar 4th, 2022 - about 4 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 1114421161 NPPES
Indiana MEDICAID 300018556
Indiana Other 000001189856

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