MRS. Melissa Thibault Mikota, APRN, FNP-BC
NPI #1346673910 in Third Lake, Illinois
Provider Information
- NPI Number
- 1346673910
- Entity Type
- Individual
- Name
- MRS. Melissa Thibault Mikota, APRN, FNP-BC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Credential
- APRN, FNP-BC
- Enumeration Date
- Aug 18, 2013
- Last Updated
- Jun 30, 2022
Practice Location
- Address
- 34344 N US HIGHWAY 45
- City
- Third Lake
- State
- Illinois
- ZIP Code
- 60030-4031
- Phone
- (847) 543-5440
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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