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Individual
MELANIE RAYE HAMM
Active
Individual
MELANIE RAYE HAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP-PC
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
R871244
MS
363LP0200X
Pediatric Nurse Practitioner
Primary
871244
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03730749
—
MS
Enumeration date
02/04/2009
Last updated
07/23/2020
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