person
Mrs. Melissa Sue Brusacoram, APRN,CNP
Psychiatric/Mental Health Nurse Practitioner in Chisholm, Minnesota
NPI 1962051359

Melissa Sue Brusacoram is a Psychiatric/Mental Health Nurse Practitioner based in Side Lake, MN and is specialized in Psychiatric/Mental Health. Melissa Sue Brusacoram practices in Chisholm, MN and has the professional credentials of APRN,CNP. The NPI Number for Melissa Sue Brusacoram is 1962051359 and holds a License No. 2100555 (Minnesota).

The current practice location address for Melissa Sue Brusacoram is 118 W Lake St, Chisholm, MN and can be reached out via phone at 218-254-0101 and via fax at 844-921-1071.

Location: 118 W Lake St, Chisholm, MN, 55781-8434
person
Provider Profile Details
NPI Number
1962051359
Provider Name
Melissa Sue Brusacoram
Credential
APRN,CNP
Provider Entity Type
Individual
Gender
Female
Address
118 W Lake St, Chisholm, MN, 55781-8434
Phone Number
218-254-0101
Fax Number
844-921-1071
Provider Enumeration Date
09/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
118 W Lake St
City
State
Zip
55719-1819
Phone Number
218-254-0101
Fax Number
844-921-1071
person
Provider Business Mailing Address Details
Address
118 W Lake St
City
State
Zip
55719-1819
Phone Number
218-254-0101
Fax Number
844-921-1071
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
7331 (Minnesota)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
2100555 (Minnesota)
Definition
Definition to come...
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