Individual
MELANIE ROSE WILLIAMS WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NNP
Contact information
Practice address
657 N TOWN CENTER DR, LAS VEGAS, NV 89144-6367
(702) 233-7000
Mailing address
11 PIN OAK CT, HAMPTON, VA 23666-1967
Taxonomy
Speciality
Code
Description
License number
State
163WN0002X
Neonatal Intensive Care Registered Nurse
0001284598
VA
363LN0000X
Neonatal Nurse Practitioner
Primary
852218
NV
Other
Enumeration date
02/24/2022
Last updated
05/26/2022
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