DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. MELISSA THIBAULT MIKOTA, APRN, FNP-BC

Active

MRS. MELISSA THIBAULT MIKOTA, APRN, FNP-BC is a Family Nurse Practitioner healthcare provider located in THIRD LAKE, Illinois. NPI 1346673910 is currently active in the NPPES registry. Verify at CMS.

Family Nurse Practitioner · THIRD LAKE, IL

Registration Details

NPI Number
1346673910
Provider Type
Individual
Gender
Female
NPI Issued
Aug 18, 2013 (12.994880372163 yrs)
Last Updated
Jun 30, 2022
Licenses
AP133930 (TX)
209010057 (IL)

Practice Information

Address
34344 N US HIGHWAY 45
THIRD LAKE, IL, 600304031
Browse IL providers · Browse ZIP 60030
Phone
8475435440
Primary Specialty
Family Nurse Practitioner
363LF0000X
Additional Specialty
Family Nurse Practitioner

Other Family Nurse Practitioner Providers in THIRD LAKE, IL

Name Credential NPI
VISHWA DESAI 1164318432
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.