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Individual

MRS. MELISSA A WEEDE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APN

Contact information

Practice address
912 BURNETT ST, WICHITA FALLS, TX 76301-3208
(940) 525-4410
(940) 525-4410
Mailing address
PO BOX 1541, ARCHER CITY, TX 76351-1541
(940) 525-4410
(940) 525-4410

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
000772
NV
363LA2100X
Acute Care Nurse Practitioner
Primary
731280
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100501773
NV
Enumeration date
06/17/2006
Last updated
01/13/2009
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