Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LA2200X | Nurse Practitioner - Adult Health | 841279 | NV |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 841279 | NV |
NPI | 1083383111 |
---|---|
Provider Name | Melanie Jean Spotts |
First Address | Las Vegas, NV 89128-7908 |
Second Address | North Las Vegas, NV 89086-4400 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/09/2021 |
Last Update Date | 11/09/2021 |