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Individual
MELISSA M MATHER
Active
Individual
MELISSA M MATHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LC0200X
Critical Care Medicine Nurse Practitioner
Primary
0024180238
VA
363LG0600X
Gerontology Nurse Practitioner
0024180238
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/13/2020
Last updated
06/24/2024
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