| NPI | 1801630900 |
|---|---|
| Other Name | MELISSA L STANNARD |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MO 2024024280) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MO 2024024280) |
| 363L00000X Nurse Practitioner (Licence: KS TMP-162427) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: KS TMP-162427) | |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-07-18 |