Mrs. Melissa Sue Brusacoram, APRN, CNP
Mrs. Melissa Sue Brusacoram, APRN, CNP is a Nurse Practitioner in Chisholm, Minnesota. Qualified in 2019, 7 years ago. Practices with Northern Tranquility Mental Health Services, a 6-clinician group and accepts Medicare assignment. Licensed in Minnesota.
- Years since qualifying
- 7
- Licensed in
- MN
- In the registry since
- 2019
- Specialties on file
- 2
What do these letters mean?
Practice location Address checks out
118 W Lake StChisholm, MN 55719-1819
Phone: (218) 254-0101
Fax: (844) 921-1071
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatric/Mental Health Nurse Practitioner (primary) | Taxonomy 363LP0808X · Licence 7331 (MN) |
|---|---|
| Psychiatric/Mental Health Registered Nurse | Taxonomy 163WP0808X · Licence 2100555 (MN) |
Record details
| NPI number | 1962051359 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | APRN , CNP |
| Sole proprietor | Yes |
| NPI enumerated | September 9, 2019 |
| Last updated in NPPES | July 16, 2021 |
| Certification date | July 16, 2021 |
Medicare enrollment
| Medicare specialty | NURSE PRACTITIONER |
|---|---|
| Medical school | OTHER |
| Graduated | 2019 (7 years in practice) |
| Group practice | Northern Tranquility Mental Health Services — 6 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |