Individual
CARA LOUISE MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
(765) 456-5687
Mailing address
1907 W SYCAMORE ST, KOKOMO, IN 46901-5148
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
28181248A
IN
363L00000X
Nurse Practitioner
Primary
71010219A
IN
Other
Enumeration date
04/23/2020
Last updated
07/25/2022
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