Individual
MELANIE MICHELLE KIZZIAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
11104 PARKVIEW CIRCLE DRIVE, 330, FORT WAYNE, IN 46845-4684
(260) 471-5114
(260) 471-5114
Mailing address
1535 BEAR CLAW LANE, FORT WAYNE, IN 46845
(260) 450-9329
Taxonomy
Speciality
Code
Description
License number
State
163WH0500X
Hemodialysis Registered Nurse
28221817A
IN
163WN0300X
Nephrology Registered Nurse
Primary
28221817A
IN
Other
Enumeration date
10/03/2017
Last updated
10/03/2017
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