NPI 1619310141

Heidi Gabriel Mellen, RN

Practitioner Registered Nurse Algonquin, IL

Practice location

Address: 730 Fenview Cir, Algonquin, IL 60102-6801
Phone: (425) 681-0811

Registered specialties

Registered Nurse Primary

Nursing Service Providers Taxonomy 163W00000X Licence 041.204865 (IL)

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Registry record

NPI: 1619310141
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Apr 2013
Record last updated: 15 Apr 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.