Provider Demographics
NPI:1356684625
Name:MCALLISTER, MELISSA GAIL (APRN-CNM)
Entity Type:Individual
Prefix:MS
First Name:MELISSA
Middle Name:GAIL
Last Name:MCALLISTER
Suffix:
Gender:F
Credentials:APRN-CNM
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:119 E PARLIAMENT ST
Mailing Address - Street 2:
Mailing Address - City:SMITH CENTER
Mailing Address - State:KS
Mailing Address - Zip Code:66967-3015
Mailing Address - Country:US
Mailing Address - Phone:785-282-6834
Mailing Address - Fax:785-282-3793
Practice Address - Street 1:119 E PARLIAMENT ST
Practice Address - Street 2:
Practice Address - City:SMITH CENTER
Practice Address - State:KS
Practice Address - Zip Code:66967-3015
Practice Address - Country:US
Practice Address - Phone:785-282-6834
Practice Address - Fax:785-282-3793
Is Sole Proprietor?:No
Enumeration Date:2013-04-04
Last Update Date:2014-05-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS53-76032-011363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily