Individual
MELISSA BRIGETTE REVENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
100 N 10TH ST STE 7, HARRISBURG, PA 17101-2419
(267) 244-2306
Mailing address
100 N 10TH ST STE 7, HARRISBURG, PA 17101-2419
(267) 244-2306
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN289023
PA
Other
Enumeration date
03/27/2024
Last updated
03/27/2024
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