Individual
MELODY IVONNE PANYAVONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
245 GOVERNORS DR SE, HUNTSVILLE, AL 35801-2700
(256) 479-0619
Mailing address
116 SHIAWAY CT, NASHVILLE, TN 37217-2528
(615) 713-8846
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
33767
TN
363LN0005X
Critical Care Neonatal Nurse Practitioner
3000757
AL
Other
Enumeration date
12/28/2021
Last updated
07/05/2023
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