Provider Demographics
NPI:1073002952
Name:PRESSEY, MILISSA DAWN GODZIK (AGPCNP-BC)
Entity Type:Individual
Prefix:MS
First Name:MILISSA
Middle Name:DAWN GODZIK
Last Name:PRESSEY
Suffix:
Gender:F
Credentials:AGPCNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1604 ARROWHEAD
Mailing Address - Street 2:
Mailing Address - City:HARBOR SPRINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49740-9240
Mailing Address - Country:US
Mailing Address - Phone:231-622-1389
Mailing Address - Fax:
Practice Address - Street 1:1604 ARROWHEAD
Practice Address - Street 2:
Practice Address - City:HARBOR SPRINGS
Practice Address - State:MI
Practice Address - Zip Code:49740-9240
Practice Address - Country:US
Practice Address - Phone:231-622-1389
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-06
Last Update Date:2018-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704274071363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner