Individual provider · Type 1 NPI
Mellissa Ward
General Practice Registered Nurse · Manito, IL
NPI number
1750294286
Active
Practice location
11531 Herrman Rd
Manito, IL 61546-8842
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Registered Nurse Primary | 163WG0000X | 041431358 (IL) |
General Practice Registered Nurse: Definition to come...
About NPI 1750294286
Mellissa Ward's National Provider Identifier is 1750294286, issued on Sep 25, 2026. The primary taxonomy on file is General Practice Registered Nurse (163WG0000X), and the practice location is in Manito, IL. The record was last updated on Sep 25, 2026.