| NPI | 1356817407 |
|---|---|
| Former Name | MELANIE LOREN VANCE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61521526) |
| Additional Taxonomies | 163WS0200X Registered Nurse, School (Licence: WA rn60706651) |
| Enumeration Date | 2018-10-16 |
| Last Update Date | 2024-03-27 |