Individual
MELANIE LORENE STANISHIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, PMHNP-BC
Contact information
Practice address
4409 FAIRBAIRN CT, OWENSBORO, KY 42303-2656
(270) 903-8445
Mailing address
4409 FAIRBAIRN CT, OWENSBORO, KY 42303-2656
(270) 903-8445
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3014026
KY
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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