Individual
MELISSA DAWN VELASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PMHNP-BC
Contact information
Practice address
4010 DUPONT CIR STE 202, LOUISVILLE, KY 40207-4847
(502) 329-3011
Mailing address
4010 DUPONT CIR STE 202, LOUISVILLE, KY 40207-4847
(502) 326-3011
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
3018736
KY
Other
Enumeration date
04/26/2023
Last updated
04/26/2023
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