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Individual

MELISSA LYNN VANDIVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MN-FNP

Contact information

Practice address
1936 MAGAZINE ST, NEW ORLEANS, LA 70130-5016
(045) 295-5585
(985) 888-1838
Mailing address
119 CHARWOOD DR, PEARL RIVER, LA 70452-3701
(985) 960-3634
(985) 888-1838

Taxonomy

Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
AP07833
LA

Other

Enumeration date
06/17/2014
Last updated
05/06/2025
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