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NPI Code Detail

MEDICARE: MELISSA HYSELLL

MEDICARE: MELISSA HYSELLL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1164W00000XLicensed Practical Nurse27046060IN

General Provider Information

NPI Number : 1467389163
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA HYSELLL
Provider Business Mailing Address
First Line : 62226 COUNTY ROAD 15
Second Line :
City : GOSHEN
State : IN
Zip : 46526-9438
Country : US
Telephone Number : 574-202-3188
Fax Number : 574-202-3188
Provider Business Practice Location Address
First Line : 62226 COUNTY ROAD 15
Second Line :
City : GOSHEN
State : IN
Zip : 46526-9438
Country : US
Telephone Number : 574-202-3188
Fax Number : 574-202-3188
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/06/2026
Last Update Date : 05/06/2026

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Directions to “ MELISSA HYSELLL ” Practice Location

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