Individual
MELANIE SUE MYERS
Active
Individual
MELANIE SUE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
1041515
DC
363LW0102X
Women's Health Nurse Practitioner
R224738
MD
363LW0102X
Women's Health Nurse Practitioner
Primary
SP016114
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103276650
—
PA
Enumeration date
11/02/2016
Last updated
12/15/2020
Update your record
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