Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 9505 | NV |
NPI | 1063596765 |
---|---|
Provider Name | Victoria Lynn Melhuish |
First Address | Carson City, NV 89701-4530 |
Second Address | Carson City, NV 89701-4530 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 30/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
U53988 | (02) | NV |