Individual
MELISSA A KRETZ
Active
Individual
MELISSA A KRETZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN-512198-L
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP011025
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029055270001
—
PA
01
—
215475YZAK
MEDICARE
PA
Enumeration date
10/21/2010
Last updated
11/04/2024
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