Individual
MELANIE NICOLE GARVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11104 PARKVIEW CIRCLE DR STE 310, FORT WAYNE, IN 46845-1733
(260) 266-1000
(260) 458-5972
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
28251344A
IN
363L00000X
Nurse Practitioner
Primary
71015892A
IN
Other
Enumeration date
09/12/2024
Last updated
01/02/2025
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