Provider Demographics
NPI:1629556287
Name:URMANSKI, MELISSA M (RN)
Entity type:Individual
Prefix:MISS
First Name:MELISSA
Middle Name:M
Last Name:URMANSKI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:950 BLUE STONE LN APT 10
Mailing Address - Street 2:
Mailing Address - City:MARATHON
Mailing Address - State:WI
Mailing Address - Zip Code:54448-6805
Mailing Address - Country:US
Mailing Address - Phone:715-573-8101
Mailing Address - Fax:
Practice Address - Street 1:B178 STATE HIGHWAY 153
Practice Address - Street 2:
Practice Address - City:SPENCER
Practice Address - State:WI
Practice Address - Zip Code:54479-9722
Practice Address - Country:US
Practice Address - Phone:715-573-8101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-04
Last Update Date:2018-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI236862163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered NurseGroup - Single Specialty