Individual
MELISSA RENEE MATRICIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
440 W SONGER LN, VEEDERSBURG, IN 47987-8547
(765) 762-4180
Mailing address
440 W SONGER LN, VEEDERSBURG, IN 47987-8547
(765) 762-4180
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28195070A
IN
363LA2200X
Adult Health Nurse Practitioner
71010902A
IN
363LF0000X
Family Nurse Practitioner
Primary
71010902A
IN
Other
Enumeration date
10/21/2019
Last updated
07/21/2022
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