Provider Demographics
NPI:1386530079
Name:HASKELL, MELISSA
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:HASKELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 W 3 ST
Mailing Address - Street 2:
Mailing Address - City:PAXTON
Mailing Address - State:NE
Mailing Address - Zip Code:69155-1510
Mailing Address - Country:US
Mailing Address - Phone:308-310-0594
Mailing Address - Fax:
Practice Address - Street 1:306 W 3 ST
Practice Address - Street 2:
Practice Address - City:PAXTON
Practice Address - State:NE
Practice Address - Zip Code:69155-1510
Practice Address - Country:US
Practice Address - Phone:308-310-0594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-17
Last Update Date:2025-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
No372500000XNursing Service Related ProvidersChore Provider