| NPI | 1477840569 |
|---|---|
| Former Name | MELINDA MCCUSKER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0000281-C-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP120518) |
| Enumeration Date | 2011-07-08 |
| Last Update Date | 2023-04-06 |