Healthcare Provider Details

I. General information

NPI: 1326361619
Provider Name (Legal Business Name): MELISSA ANN FLESZAR ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/01/2010
Last Update Date: 02/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2198 US 31 S
MANISTEE MI
49660-9618
US

IV. Provider business mailing address

6227 FRANKFORT HWY
BENZONIA MI
49616-8632
US

V. Phone/Fax

Practice location:
  • Phone: 231-723-3567
  • Fax: 231-723-1767
Mailing address:
  • Phone: 231-882-9661
  • Fax: 231-882-9616

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP 3157212
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number4704208157
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: