| NPI | 1164747317 |
|---|---|
| Former Name | MELISSA L MCCONNELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 336340) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY 336340) |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2021-12-20 |