Doctor Name: | JOSEPH MELLENS |
NPI Number: | 1972988418 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CRNA |
License Number: | 041.383038 |
Business Practice Address: | 333 Madison St Joliet, IL - 604358200 |
Business Phone Number: | 8157257133 |
Business Fax Number: | |
Mailing Address: | 817 W Washington Blvd, Unit 304 CHICAGO |
State: | IL |
Postal Code: | 606072390 |
Phone Number: | 3129289089 |
Fax Number: | |
NPI Enumeration Date: | 07/27/2015 |
NPI Last Update Date: | 11/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163W00000X |
License Number: | 041.383038 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N. |