Individual
MELANIE JEAN FULLMER
Active
Individual
MELANIE JEAN FULLMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
2021051080
MO
363LA2100X
Acute Care Nurse Practitioner
2022004714
MO
363LA2100X
Acute Care Nurse Practitioner
Primary
53-84398-071
KS
Other
Enumeration date
01/06/2022
Last updated
08/06/2025
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