| NPI | 1922099696 |
|---|---|
| Former Name | MELISSA RENEE PHELPS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP60103856) |
| Additional Taxonomies | 364SP0200X Clinical Nurse Specialist, Pediatrics (Licence: WA RN00167987) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2023-03-07 |