| NPI | 1265513998 |
|---|---|
| Other Name | CONNIE RAE MELANSON/CARDINAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN R147667-5) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2014-11-24 |