Mrs Melissa R Knutson, | |
205 Parker St, Boscobel, WI 53805-1642 | |
(608) 375-4112 | |
Not Available |
Full Name | Mrs Melissa R Knutson |
---|---|
Gender | Female |
Speciality | Nurse Practitioner - Psychiatric/mental Health |
Location | 205 Parker St, Boscobel, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477322659 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 14874-33 (Wisconsin) | Primary |
Entity Name | Memorial Hospital Of Boscobel |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760459846 PECOS PAC ID: 8325957673 Enrollment ID: O20040115000725 |
Mailing Address | Practice Location Address |
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Mrs Melissa R Knutson, 205 Parker St, Boscobel, WI 53805-1642 Ph: (608) 375-4112 | Mrs Melissa R Knutson, 205 Parker St, Boscobel, WI 53805-1642 Ph: (608) 375-4112 |
Maria R Kindrai, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 Parker St, Boscobel, WI 53805 Phone: 608-375-2424 | |
Ann Drayman, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 205 Parker Street, Boscobel, WI 53805 Phone: 608-375-4112 | |
Halie Ruff, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Parker St, Boscobel, WI 53805 Phone: 608-375-4144 | |
Stacey Inez Larson, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 205 Parker St, Boscobel, WI 53805 Phone: 608-375-4112 | |
Rita C Walker, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 208 Parker St, Boscobel, WI 53805 Phone: 608-375-4144 Fax: 608-375-5629 | |
Judith C Lyness, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 200 W Bluff St, Boscobel, WI 53805 Phone: 608-375-2424 Fax: 608-375-6285 |