Individual
MELANIE R GRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4500 W MIDWAY RD, FORT PIERCE, FL 34981-4823
(772) 672-8400
Mailing address
1240 25TH TER SW, VERO BEACH, FL 32968-5068
(209) 626-6505
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11029862
FL
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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