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Individual
MELINDA DEE CHRISTIAN
Active
Individual
MELINDA DEE CHRISTIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
28192969A
IN
363LP2300X
Primary Care Nurse Practitioner
Primary
71005372A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
074790066
MEDICARE PTAN
IN
05
—
201392850
—
IN
Enumeration date
01/28/2015
Last updated
11/29/2023
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