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General NPI Number Information
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NPI Number | 1295546034
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Entity Type | Individual
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Provider Name | MELISSA MACEY HEEMSATH APRN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 01/20/2025
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 6255 SHARLANDS AVE
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City | RENO
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State | NV
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Zip | 89523-2882
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Country | US
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Telephone | 775-770-7682
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Fax |
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Provider Business Mailing Address
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Address Line | 250 PORTER PEAK DR
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City | CARSON CITY
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State | NV
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Zip | 89701-5827
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Country | US
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Telephone | 904-460-4898
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 863933
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License Number State | NV
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