Provider Demographics
NPI:1083002133
Name:MCGEE, MELISSA M (APNP)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:M
Last Name:MCGEE
Suffix:
Gender:F
Credentials:APNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:931 QUINCE CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-1599
Mailing Address - Country:US
Mailing Address - Phone:734-658-6685
Mailing Address - Fax:
Practice Address - Street 1:931 QUINCE CT
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-1599
Practice Address - Country:US
Practice Address - Phone:734-658-6685
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-12-23
Last Update Date:2019-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI6504363LF0000X
IL209.012314363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily