Melanie Ann Wylie in Belleville - Psychiatric/mental Health, Adult

Melanie Ann Wylie - NPI 1083735443

Melanie Ann Wylie is a Psychiatric/mental Health, Adult in Belleville, Illinois. Melanie Ann Wylie practices all healthcare services and medical treatments related to Psychiatric/mental Health, Adult. The NPI Number for Melanie Ann Wylie is 1083735443. The last update date is 2009-08-06.

Melanie Ann Wylie's current location address is 12 N 64th St, Belleville, Illinois. You can contact this provider via phone number 6183977145 and fax number 6183970093. The mailing address for Melanie Ann Wylie is 12 N 64th St, Belleville, Illinois. To know further, please read the information below!

Provider Profile Detail

Provider Name Melanie Ann Wylie
Address 12 N 64th St, Belleville, Illinois
Phone Number 6183977145
Fax Number 6183970093
Sole Proprietor Y
Credentials RN MSN CNS

NPI Number Detail

NPI Number 1083735443
Provider Enumeration Date 2007-04-03
Last Updated Date 2009-08-06

Provider Mailing Address Detail

Address 12 N 64th St
City Belleville
State Illinois (IL)
Post Code 622233809
Phone Number 6183977145
Fax Number 6183970093

Provider's Primary Taxonomy Detail

Speciality Psychiatric/mental Health, Adult
Taxonomy 163Wp0809X
Licence No 309002368
Definition:
A psychiatric nurse who cares for adult patients.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
41291221 IL RN LICENSE
309002368 IL APN LICENSE

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FAQs about Melanie Ann Wylie

What is the unique 10-digit identification code assigned to Melanie Ann Wylie by the Centers for Medicare & Medicaid Services?

The Melanie Ann Wylie has been issued the NPI (National Provider Identifier) 1083735443, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Melanie Ann Wylie is geographically located?

The Melanie Ann Wylie is physically situated at the following location: 12 N 64Th St, Belleville, IL, 622233809.

What is Melanie Ann Wylie's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Melanie Ann Wylie is Psychiatric/mental Health, Adult, and the taxonomy code that classifies this field of practice is 163Wp0809X.

On what date did Melanie Ann Wylie receive its 1083735443 assignment from the Centers for Medicare & Medicaid Services?

The Melanie Ann Wylie was assigned its 1083735443 on 2007-04-03, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the Melanie Ann Wylie's information last updated?

The Melanie Ann Wylie's information was last updated on 2009-08-06.

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