Individual
MELISSA LYNN BAATZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
9625 HIGHWAY 78, LADSON, SC 29456-3913
(866) 389-2727
(401) 652-1593
Mailing address
134 DIPLOMA DR, LADSON, SC 29456-5326
(843) 882-5031
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18285
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2412
—
SC
01
—
P01203036
RR-MEDICARE
SC
Enumeration date
05/29/2013
Last updated
08/04/2014
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