Individual
MELISSA REA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28121593A
IN
364S00000X
Clinical Nurse Specialist
70000072A
IN
Other
Enumeration date
06/29/2006
Last updated
09/11/2025
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