Individual
MELISSA BUCKNER WAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
5160 OCEAN HWY W, SHALLOTTE, NC 28470-4012
(910) 332-3800
(910) 332-3833
Mailing address
2716 ASHTON DR, WILMINGTON, NC 28412-2489
(910) 332-3800
(910) 251-0421
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
238638
NC
363L00000X
Nurse Practitioner
Primary
5008560
NC
Other
Enumeration date
05/09/2016
Last updated
03/21/2019
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