Individual
MELANIE THELIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN, RN
Taxonomy
Speciality
Code
Description
License number
State
163WF0300X
Flight Registered Nurse
Primary
4728249-3102
UT
Other
Enumeration date
05/15/2026
Last updated
05/15/2026
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