Provider Demographics
NPI:1821854472
Name:SEDEY, MELISSA MARY (RN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:MARY
Last Name:SEDEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 3RD ST NW
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:MN
Mailing Address - Zip Code:55328-5500
Mailing Address - Country:US
Mailing Address - Phone:612-368-8861
Mailing Address - Fax:
Practice Address - Street 1:140 3RD ST NW
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:MN
Practice Address - Zip Code:55328-5500
Practice Address - Country:US
Practice Address - Phone:612-368-8861
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN2173757163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient