| NPI | 1174038764 |
|---|---|
| Former Name | MELISSA THEIGE RICHIE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: MN 15016) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MA 3063) |
| 363A00000X Physician Assistant | |
| 363A00000X Physician Assistant (Licence: ND PAC1093) | |
| Enumeration Date | 2017-12-05 |
| Last Update Date | 2025-01-09 |