Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 176B00000X | Midwife |
NPI | 1093134157 |
---|---|
Provider Name | Melanie Price |
First Address | Lawrenceburg, IN 47025-8457 |
Second Address | Lawrenceburg, IN 47025-8457 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2014 |
Last Update Date | 15/04/2014 |