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Individual

MRS. MELISSA A DIERKER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28547-2538
(910) 450-4159
(910) 450-4194
Mailing address
100 BREWSTER BLVD, NAVAL HOSPITAL, CAMP LEJEUNE, NC 28547-2538
(910) 450-4159
(910) 450-4194

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
AP05623
LA
363LF0000X
Family Nurse Practitioner
Primary
AP05623
LA

Other

Enumeration date
02/13/2009
Last updated
08/28/2012
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