Individual
STACEY MELLING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2600 BELLE CHASSE HWY STE 211, TERRYTOWN, LA 70056-7156
(504) 453-1332
Mailing address
125 EVANGELINE TRCE, BELLE CHASSE, LA 70037-2762
(504) 453-1332
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN085517
LA
Other
Enumeration date
07/11/2024
Last updated
07/11/2024
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