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Individual
DR. MARY ALICE MELWAK
Active
Individual
DR. MARY ALICE MELWAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
136096474405
UT
363LN0000X
Neonatal Nurse Practitioner
Primary
79984
NM
363LN0000X
Neonatal Nurse Practitioner
APRN11026789
FL
363LP0200X
Pediatric Nurse Practitioner
NP15851
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
RN582127
—
CA
Enumeration date
11/01/2006
Last updated
10/11/2024
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