Individual provider · Type 1 NPI
Melissa Sporar, FNP-BC
Family Nurse Practitioner · Ottawa, IL
NPI number
1457711301
Active
Practice location
612 Court St
Ottawa, IL 61350-2915
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 041335921 (IL) |
| Family Nurse Practitioner Primary | 363LF0000X | 209014540 (IL) |
Family Nurse Practitioner: Definition to come...
Another provider at this address
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About NPI 1457711301
Melissa Sporar, FNP-BC's National Provider Identifier is 1457711301, issued on Mar 3, 2016. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Ottawa, IL. The record was last updated on Dec 28, 2017.