Individual
MELISSA G MARCOMBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
191 INNOVATION CT STE A, GRAY, LA 70359-3131
(985) 303-4100
(985) 303-4101
Mailing address
191 INNOVATION CT STE A, GRAY, LA 70359-3131
(985) 303-4100
(985) 303-4101
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN084371-AP05918
LA
363LF0000X
Family Nurse Practitioner
Primary
AP05918
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1802166
—
LA
Enumeration date
06/23/2009
Last updated
10/31/2024
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