Doctor Name: | MRS. MELINDA SUE MCNAUL |
NPI Number: | 1407155948 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | A-117497 |
Business Practice Address: | 101 W Washington St Montezuma, IA - 501717739 |
Business Phone Number: | 6416235690 |
Business Fax Number: | 6416232229 |
Mailing Address: | 1613 510th Ave, MONTEZUMA |
State: | IA |
Postal Code: | 501718567 |
Phone Number: | 6418916236 |
Fax Number: | |
NPI Enumeration Date: | 03/23/2011 |
NPI Last Update Date: | 03/23/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | A-117497 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |