Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | R-8628 | IA |
N | 2080P0210X | Pediatric Nephrologist | 28585 | NE |
NPI | 1508091109 |
---|---|
Provider Name | Dr. Melissa Ann Muff-Luett |
First Address | Omaha, NE 68114-4101 |
Second Address | Omaha, NE 68114-4101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2009 |
Last Update Date | 13/07/2015 |