MEDICARE: MELISSA MARIE ABERLE MS, CNP

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
1	363L00000X	Nurse Practitioner	0334	SD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	4995693	OTHER	SD	WELLMARK BCBS

General Provider Information

NPI Number	:	1881665891
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA MARIE ABERLE MS, CNP

Provider Business Mailing Address
First Line	:	3808 SHERIDAN LAKE RD
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-5394
Country	:	US
Telephone Number	:	605-219-9525
Fax Number	:	833-210-8430

Provider Business Practice Location Address
First Line	:	3808 SHERIDAN LAKE RD
Second Line	:
City	:	RAPID CITY
State	:	SD
Zip	:	57702-5394
Country	:	US
Telephone Number	:	605-219-9525
Fax Number	:	833-210-8430

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/28/2006
Last Update Date	:	12/02/2022

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