| NPI | 1407807134 |
|---|---|
| Former Name | MELISSA H FIRESTONE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 71008127A) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71008127A) |
| 363LP0200X Nurse Practitioner, Pediatrics (Licence: IN 28195965A) | |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2024-07-29 |