Individual
MELINDA YVETTE SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGACNP-BC, BSN, RN
Contact information
Practice address
630 W MITCHELL ST STE 4, PETOSKEY, MI 49770-2214
(231) 348-4005
(833) 973-5899
Mailing address
630 W MITCHELL ST STE 4, PETOSKEY, MI 49770-2214
(231) 348-4005
(833) 973-5899
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704319747
MI
363LA2100X
Acute Care Nurse Practitioner
4704319747
MI
Other
Enumeration date
03/15/2016
Last updated
10/02/2025
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