NPI | 1801630900 |
---|---|
Other Name | MELISSA L STANNARD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2024024280) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2024024280) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 53-83395-061) | |
Enumeration Date | 2024-06-24 |
Last Update Date | 2025-02-13 |