Provider Demographics
NPI:1407743743
Name:WEISS, MELISSA (MASTERS HUMAN SERVIC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:WEISS
Suffix:
Gender:F
Credentials:MASTERS HUMAN SERVIC
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:MCDONALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5609 1ST AVE # SITEB
Mailing Address - Street 2:
Mailing Address - City:KEARNEY
Mailing Address - State:NE
Mailing Address - Zip Code:68847-2436
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5609 1ST AVE APT B
Practice Address - Street 2:
Practice Address - City:KEARNEY
Practice Address - State:NE
Practice Address - Zip Code:68847-2438
Practice Address - Country:US
Practice Address - Phone:308-296-1101
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372600000XNursing Service Related ProvidersAdult Companion