Individual
MELISSA ANN REVARD
Active
Individual
MELISSA ANN REVARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
28201775A
IN
363LF0000X
Family Nurse Practitioner
71012244A
IN
363LP0222X
Critical Care Pediatric Nurse Practitioner
263216
MT
363LP0222X
Critical Care Pediatric Nurse Practitioner
71012244A
IN
363LP0222X
Critical Care Pediatric Nurse Practitioner
Primary
APRN11043493
FL
Other
Enumeration date
12/30/2021
Last updated
02/01/2026
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