MELISSA NIETERT AGPCNP-BC NPI 1881099380

NPI Information

NPI: 1881099380
Provider Name: MELISSA NIETERT, AGPCNP-BC
Classification: Nurse Practitioner - 363LA2200X
Entity Type: Individual

Specialization: Adult Health

PECOS Registration: Yes

Address:
5841 S MARYLAND AVE
CHICAGO, IL
ZIP 60637
Phone: (773) 926-1191
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Melissa Nietert, AGPCNP-BC is an adult health nurse practitioner in Chicago, IL with 10 years of experience. Melissa Nietert, AGPCNP-BC NPI is 1881099380. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5841 S MARYLAND AVE
CHICAGO, IL
ZIP 60637-447
Phone: (773) 926-1191
Fax: (773) 926-0833

The NPI 1881099380 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/27/2014 and was last updated on 10/27/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LA2200X	Nurse Practitioner	Adult Health	209.012079	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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