| NPI | 1568832400 |
|---|---|
| Former Name | MELONY BEATSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CO APN.0993393-NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024172951) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2019-11-21 |