Individual
MELISSA ANN MELJAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1987 BARRETT CT, APT. 105, HENDERSON, KY 42420-4953
(641) 781-0227
Mailing address
1987 BARRETT CT, APT. 105, HENDERSON, KY 42420-4953
(641) 781-0227
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
138641-30
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
138641-30
RN COMPACT LICENSE
WI
Enumeration date
12/31/2012
Last updated
12/31/2012
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