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Individual
MELISSA ANNE MAXWELL
Active
Individual
MELISSA ANNE MAXWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP - BC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
28200431A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71009757B
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
95013526
CA
Other
Enumeration date
11/15/2019
Last updated
11/03/2024
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