Provider Demographics
NPI:1881665891
Name:ABERLE, MELISSA MARIE (MS, CNP)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:MARIE
Last Name:ABERLE
Suffix:
Gender:F
Credentials:MS, CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3808 SHERIDAN LAKE RD
Mailing Address - Street 2:
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-5394
Mailing Address - Country:US
Mailing Address - Phone:605-219-9525
Mailing Address - Fax:833-210-8430
Practice Address - Street 1:3808 SHERIDAN LAKE RD
Practice Address - Street 2:
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-5394
Practice Address - Country:US
Practice Address - Phone:605-219-9525
Practice Address - Fax:833-210-8430
Is Sole Proprietor?:No
Enumeration Date:2006-01-28
Last Update Date:2022-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0334363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD4995693OtherWELLMARK BCBS
SDP00116964Medicare PIN
SD4995693OtherWELLMARK BCBS