| NPI | 1396330296 |
|---|---|
| Former Name | MELISSA LYNNE ANDREASEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: ND R39324) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: ND R39324) |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2025-04-24 |