Individual
MELISSA NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
12200 FOREST HILL BLVD, WELLINGTON, FL 33414-5795
(734) 834-7801
Mailing address
1695 CARRIAGE BROOKE DR, WELLINGTON, FL 33414-6149
(734) 834-7801
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11025907
FL
Other
Enumeration date
04/20/2023
Last updated
04/26/2023
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