Melissa Marie Bellovary, LPN
Individual provider Active NPI Licensed Practical Nurse · Elk Mound, WI
NPI 1124232178 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1124232178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 303455-31 (WI)
- Practice address
- N3765 947TH St
Elk Mound, WI 54739-4500 - Phone
- (715) 874-4482
- NPI assigned
- May 9, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 303455-31 | WI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 303455-31 | WI | Yes |
Addresses
Primary practice location
N3765 947TH St
Elk Mound, WI 54739-4500
Mailing address
N3765 947TH St
Elk Mound, WI 54739-4500
Phone (715) 874-4482
Other providers in Elk Mound, WI
- A to B Transport, LLC
- All Smiles Inc
- Being Human Yoga and Global Goods
- Alissa Bentz
- Kaitlin Christine Dietzman
- Elk Mound Area School District
- Elk Mound Chiropractic LLC
- Elizabeth Forehand
All providers in Elk Mound, WI · Licensed Practical Nurse in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.