| NPI | 1366592339 |
|---|---|
| Former Name | MELANIE ANN JOHNSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007599) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30007599) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30007599) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 226682) | |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2024-09-20 |