Individual
MELISSA AMY BEYER-THISTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., C.R.N.P.
Contact information
Practice address
8821 COLUMBIA 100 PKWY, COLUMBIA, MD 21045-2168
(410) 964-1056
(410) 740-8315
Mailing address
8821 COLUMBIA 100 PKWY, COLUMBIA, MD 21045-2168
(410) 964-1056
(410) 740-8315
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
R095831
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R095831
REGISTERED NURSE
MD
Enumeration date
08/12/2006
Last updated
07/08/2007
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