Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. MELISSA SUE BRUSACORAM, APRN, CNP
Active Sole ProprietorMRS. MELISSA SUE BRUSACORAM, APRN, CNP is a Psychiatric/Mental Health Nurse Practitioner healthcare provider located in CHISHOLM, Minnesota. NPI 1962051359 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · CHISHOLM, MN
Registration Details
- NPI Number
- 1962051359
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 9, 2019 (6.9220558932704 yrs)
- Last Updated
- Jul 16, 2021
- Licenses
-
2100555 (MN)7331 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
118 W LAKE STCHISHOLM, MN, 557191819Browse MN providers · Browse ZIP 55719
- Phone
- 2182540101
- Fax
- 8449211071
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Other Psychiatric/Mental Health Nurse Practitioner Providers in CHISHOLM, MN
| Name | Credential | NPI |
|---|---|---|
| CHRISTINA JACKLYN KIRCHEN | CNP | 1134865561 |
| MALLORY JENE GRANI | APRN, CNP, PMHNP-C | 1376422139 |
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.