Doctor Name: | MS. MELODY ANN WATRAL |
NPI Number: | 1003198946 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSN, RN, CPNP |
License Number: | 72761 |
Business Practice Address: | 101 Manning Dr Chapel Hill, NC - 275144220 |
Business Phone Number: | 9199668809 |
Business Fax Number: | |
Mailing Address: | Unc Department Of Neurosurgery, 170 Manning Drive Cb7060 CHAPEL HILL |
State: | NC |
Postal Code: | 275990001 |
Phone Number: | 9199661374 |
Fax Number: | 9198436520 |
NPI Enumeration Date: | 09/16/2011 |
NPI Last Update Date: | 08/07/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | 72761 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |