| NPI | 1629366349 |
|---|---|
| Other Name | AMY SUE MELLIES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: KS 53-75463) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KS 13-81069) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2014-02-28 |