Doctor Name: | MELODY ANN MCCLURE |
NPI Number: | 1154432466 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP, NP-C |
License Number: | ARNP3010562 |
Business Practice Address: | 130 Jfk Drive Suite 134 Atlantis, FL - 334620014 |
Business Phone Number: | 5614390308 |
Business Fax Number: | 5614390371 |
Mailing Address: | 130 John F Kennedy Dr, Suite 134 ATLANTIS |
State: | FL |
Postal Code: | 334621141 |
Phone Number: | 5614390308 |
Fax Number: | 5614390371 |
NPI Enumeration Date: | 08/31/2006 |
NPI Last Update Date: | 11/02/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | ARNP3010562 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |