| Doctor Name: | MELISSA ELLEN DECKARD |
| NPI Number: | 1386884872 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | 741502 |
| Business Practice Address: | 4796d Omaha Beach St Fort Irwin, CA - 923101905 |
| Business Phone Number: | 5733370421 |
| Business Fax Number: | |
| Mailing Address: | 4796d Omaha Beach St, FORT IRWIN |
| State: | CA |
| Postal Code: | 923101905 |
| Phone Number: | 5733370421 |
| Fax Number: | |
| NPI Enumeration Date: | 02/24/2009 |
| NPI Last Update Date: | 02/24/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WX0800X |
| License Number: | 741502 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Orthopedic |
| Taxonomy Definition: | |