MELISSA SONG
NPI 1306552989
Registered Nurse - Administrator in Polk City, IA
Active since January 26, 2023
About Melissa Song NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MELISSA SONG (NPI 1306552989) is an individual administrator provider in Polk City, Iowa, licensed in Iowa (118713) and active in the NPI registry since January 2023.
NPPES Registry Identity
NPI1306552989
Entity TypeIndividualFemale
Primary Taxonomy163WA2000X
Provider Legal NameMELISSA SONG
Location Address406 E VISTA LAKE AVEPolk City, IA 50226-3401
Mailing Address406 E Vista Lake AvePolk City, IA 50226-3401 · (515) 779-3462
Phone(515) 779-3462
Sole ProprietorNo
Enumeration DateJanuary 26, 2023
NPPES CertifiedJanuary 26, 2023
✔ NPI 1306552989 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyRegistered Nurse · AdministratorNursing Service Providers
Taxonomy Code163WA2000X
License✔ Licensed in IA · 118713
406 E VISTA LAKE AVE, Polk City, IA 50226
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306552989, enumerated as an "individual" on January 26, 2023.
The provider is located at 406 E VISTA LAKE AVE POLK CITY, IA 50226 and the phone number is (515) 779-3462.
Registered Nurse with taxonomy code 163WA2000X and a focus in Administrator.
