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MELISSA HOPE NICE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-8162
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
28195965A
IN
363LP0200X
Pediatric Nurse Practitioner
Primary
71008127A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
71008127A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000001670032
ANTHEM PTAN
IN
01
264430E50
MEDICARE PTAN
IN
05
300016177
IN
Enumeration date
05/15/2006
Last updated
07/29/2024
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