IndividualActive
Melissa Song
NPI 1306552989 · Administrator Registered Nurse · Polk City, IA
Provider details
- NPI number
- 1306552989
- Entity type
- Individual
- Primary specialty
- Administrator Registered NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 118713 (IA)
Specialties & taxonomies
Nursing Service Providers
Practice location
406 E Vista Lake Ave
Polk City, IA 50226-3401
Phone: (515) 779-3462
Approximate (ZIP-level) locationGet directions
Mailing address
406 E Vista Lake Ave
Polk City, IA 50226-3401
Registry dates
- Enumerated
- 2023-01-26
- Last updated
- 2023-01-26
- Certified
- 2023-01-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.