| NPI | 1013591411 |
|---|---|
| Former Name | ANNA LYNN MELNICHUK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MN 8161) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MN 8161) |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2024-08-09 |