Individual
MELANIE ANN DOLESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP
Contact information
Practice address
100 MEDICAL CENTER DR, SLIDELL, LA 70461-5520
(985) 646-5627
Mailing address
100 MEDICAL CENTER DR, SLIDELL, LA 70461-5520
(985) 646-5627
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP04922
LA
363L00000X
Nurse Practitioner
R856944
MS
363L00000X
Nurse Practitioner
RN063398
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02425360
—
MS
05
—
2152866
—
LA
Enumeration date
08/10/2006
Last updated
12/30/2014
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