Provider Demographics
NPI:1780458174
Name:MELTSER, OLGA (RN, APN)
Entity type:Individual
Prefix:
First Name:OLGA
Middle Name:
Last Name:MELTSER
Suffix:
Gender:F
Credentials:RN, APN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1930 STRENGER LN
Mailing Address - Street 2:
Mailing Address - City:RIVERWOODS
Mailing Address - State:IL
Mailing Address - Zip Code:60015-1659
Mailing Address - Country:US
Mailing Address - Phone:224-625-0046
Mailing Address - Fax:847-444-9100
Practice Address - Street 1:1930 STRENGER LN
Practice Address - Street 2:
Practice Address - City:RIVERWOODS
Practice Address - State:IL
Practice Address - Zip Code:60015-1659
Practice Address - Country:US
Practice Address - Phone:224-625-0046
Practice Address - Fax:847-444-9100
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-07
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041.501503163WG0000X
WI255194-30163WG0000X
IL209.028671363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice