| NPI | 1912398454 |
|---|---|
| Former Name | MELISSA ELICIA DENNETT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704254903) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IN 71010299A) |
| 363L00000X Nurse Practitioner (Licence: OH APRN.CNP.0034997) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH APRN.CNP.0034997) | |
| 363LF0000X Nurse Practitioner, Family (Licence: IN 71010299A) | |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2024-11-21 |