Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife | M01021 | AR |
NPI | 1033134457 |
---|---|
Provider Name | Melanie J Ware |
First Address | North Little Rock, AR 72114-5853 |
Second Address | North Little Rock, AR 72114-5853 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2006 |
Last Update Date | 04/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
161448799 | (05) | AR |
Q74066 | (02) |