Provider Demographics
NPI:1134469364
Name:KUENSTLER, MELISSA N (APN, WHNP)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:N
Last Name:KUENSTLER
Suffix:
Gender:F
Credentials:APN, WHNP
Other - Prefix:MISS
Other - First Name:MELISSA
Other - Middle Name:N
Other - Last Name:TOMPSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 E LOCUST ST
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:IL
Mailing Address - Zip Code:62450-2553
Mailing Address - Country:US
Mailing Address - Phone:618-395-7340
Mailing Address - Fax:
Practice Address - Street 1:500 S SCOTT AVE
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:IL
Practice Address - Zip Code:62448-1665
Practice Address - Country:US
Practice Address - Phone:618-783-2144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-02-25
Last Update Date:2013-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL209009713363LW0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health