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Individual
MRS. MELLISA L LARKIN
Active
Individual
MRS. MELLISA L LARKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.R.N.P
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
3002601
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1076667
REGISTERED NURSE LICENSE
KY
01
—
2601P
NURSE PRACTITIONER LICENS
KY
Enumeration date
11/16/2005
Last updated
12/10/2020
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