NPI | 1134687874 |
---|---|
Former Name | MELISSA FAYE MEIGS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R40616) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: ND R40616) |
Enumeration Date | 2019-03-12 |
Last Update Date | 2023-12-28 |