Individual provider · Type 1 NPI
Melissa Trader, RN
Psychiatric/Mental Health Nurse Practitioner · Danville, IL
NPI number
1124855788
Active
Practice location
1900 E Main St
Danville, IL 61832-5100
Mailing address
23422 Covered Bridge Rd
Athens, IL 62613-7606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041-340104 (IL) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 209031506 (IL) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1124855788
Melissa Trader, RN's National Provider Identifier is 1124855788, issued on Sep 17, 2024. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Danville, IL. The record was last updated on Mar 6, 2025.