Provider Demographics
NPI:1669935383
Name:BECHER, MELISSA M (LPN)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:M
Last Name:BECHER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:M
Other - Last Name:PHILIPPI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:44 VALERIE DR
Mailing Address - Street 2:
Mailing Address - City:APPLETON
Mailing Address - State:WI
Mailing Address - Zip Code:54915-6217
Mailing Address - Country:US
Mailing Address - Phone:920-243-8840
Mailing Address - Fax:
Practice Address - Street 1:44 VALERIE DR
Practice Address - Street 2:
Practice Address - City:APPLETON
Practice Address - State:WI
Practice Address - Zip Code:54915-6217
Practice Address - Country:US
Practice Address - Phone:920-243-8840
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-09
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI318944-31164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse