Provider Demographics
NPI:1073135513
Name:BARRETT, MELISSA M (APRN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:M
Last Name:BARRETT
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1120 6TH CORSO
Mailing Address - Street 2:
Mailing Address - City:NEBRASKA CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68410-2747
Mailing Address - Country:US
Mailing Address - Phone:402-713-0110
Mailing Address - Fax:402-713-0285
Practice Address - Street 1:1120 6TH CORSO
Practice Address - Street 2:
Practice Address - City:NEBRASKA CITY
Practice Address - State:NE
Practice Address - Zip Code:68410-2747
Practice Address - Country:US
Practice Address - Phone:402-713-0110
Practice Address - Fax:402-713-0285
Is Sole Proprietor?:No
Enumeration Date:2020-05-07
Last Update Date:2022-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE113205363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner