Individual
MICHAELA MELLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(765) 485-8000
Mailing address
965 W 125 S, LEBANON, IN 46052-8266
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28277519A
IN
Other
Enumeration date
12/02/2024
Last updated
12/02/2024
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