Individual
MRS. MELANIE ELAINE BALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, FNP-BC
Contact information
Practice address
45300 CHERRY HILL RD, CANTON, MI 48187-5073
(734) 981-3968
Mailing address
45300 CHERRY HILL RD # 8190, CANTON, MI 48187-5073
(734) 981-3968
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
4704318754
MI
363L00000X
Nurse Practitioner
4704318754
MI
363LF0000X
Family Nurse Practitioner
Primary
4704318754
MI
Other
Enumeration date
02/24/2016
Last updated
08/05/2021
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