# MRS. MELLISA L LARKIN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407838311
- **Gender:** F
- **Credential:** A.R.N.P

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363L00000X | Nurse Practitioner | 3002601 | KY | Yes |

## Other

- **Enumeration date:** 11/16/2005
- **Last updated:** 12/10/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1076667 | REGISTERED NURSE LICENSE | KY |
| 01 | — | 2601P | NURSE PRACTITIONER LICENS | KY |