NPI | 1700160231 |
---|---|
Former Name | MELISSA K BRITTICKS |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2011016630) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2011016630) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 221007) | |
163W00000X Registered Nurse (Licence: MO 2005009323) | |
Enumeration Date | 2011-10-03 |
Last Update Date | 2024-09-17 |