NPI | 1851587661 |
---|---|
Former Name | TONYA MARIE MELTON, NELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP2518762) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL CRNP1-147420) |
Enumeration Date | 2007-09-15 |
Last Update Date | 2023-11-06 |