NPI | 1487996625 |
---|---|
Former Name | MELISSA SHANNON MALONEY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9439368) |
Additional Taxonomies | 163WW0000X Registered Nurse, Wound Care (Licence: FL 9439368) |
202K00000X Phlebology (Licence: FL 9439368) | |
Enumeration Date | 2013-03-26 |
Last Update Date | 2025-03-06 |