| NPI | 1265044747 |
|---|---|
| Former Name | MELYSSA CARLSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: AZ 259493) |
| Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA RN60945219) |
| 163WE0003X Registered Nurse, Emergency (Licence: AZ 259493) | |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2024-11-25 |