| NPI | 1932514320 |
|---|---|
| Former Name | MELISSA SUEANN NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MN CNP2304) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MN R179202-9) |
| Enumeration Date | 2014-06-25 |
| Last Update Date | 2020-12-01 |