Individual
MELISSA UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3103 RANCH ROAD 1869, LIBERTY HILL, TX 78642-4288
(512) 277-0676
Mailing address
3103 RANCH ROAD 1869, LIBERTY HILL, TX 78642-4288
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
714859
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
714859
NURSING LICENSE
TX
Enumeration date
08/25/2020
Last updated
08/25/2020
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