Individual
KRISTEN MELERVEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3191 HARBOR BLVD STE A&B, PORT CHARLOTTE, FL 33952-6755
(941) 883-4518
Mailing address
7454 ROCKWELL AVE, NORTH PORT, FL 34291-5734
(609) 510-7063
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
11021705
FL
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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