Individual
MELISSA C FUQUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-9545
(812) 858-4512
Mailing address
PO BOX 3868, EVANSVILLE, IN 47737-3868
(812) 426-9545
(812) 858-4512
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71000411A
IN
363LF0000X
Family Nurse Practitioner
71000411A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300001390
—
IN
05
—
7100457920
—
KY
Enumeration date
12/05/2005
Last updated
10/31/2024
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