Individual
MRS. MELANIE SHORT LETZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
6085 MARSHALEE DR, SUITE 110, ELKRIDGE, MD 21075-6023
(443) 506-4370
Mailing address
4513 RUSTY GATE, ELLICOTT CITY, MD 21043-6566
(410) 461-9131
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R133532
MD
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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