Individual
MELISSA MAHANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
92 W MILLER ST, ORLANDO, FL 32806-2032
(407) 649-9111
Mailing address
3955 BARRINGTON DR, MEDINA, OH 44256-5951
(330) 801-6709
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
APRN11015345
FL
Other
Enumeration date
01/20/2022
Last updated
01/20/2022
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