Individual
MELANIE SAMPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9268 E TATE RIDGE RD, MADISON, IN 47250-8756
(812) 493-3993
Mailing address
9268 E TATE RIDGE RD, MADISON, IN 47250-8756
(812) 493-3993
Taxonomy
Speciality
Code
Description
License number
State
163WG0600X
Gerontology Registered Nurse
Primary
28151524A
IN
Other
Enumeration date
03/02/2022
Last updated
03/02/2022
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