| NPI | 1598151169 |
|---|---|
| Former Name | MELISSA RENEE ANSELM |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 31714) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 905284) |
| 163W00000X Registered Nurse (Licence: MS R899124) | |
| Enumeration Date | 2015-04-10 |
| Last Update Date | 2022-08-15 |