| NPI | 1255996997 |
|---|---|
| Former Name | MELANIE MARIE NICHOLS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX AP141369) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP141369) |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2019-05-08 |