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General NPI Number Information
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NPI Number | 1356827802
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Entity Type | Individual
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Provider Name | KRISTIE A MELVIN ARNP, DNP
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Gender | Female
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Dates
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Enumeration Date | 07/18/2018
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Last Update Date | 07/25/2023
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Provider Practice Location Address
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Address Line | 915 13TH AVE N
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City | CLINTON
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State | IA
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Zip | 52732-5099
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Country | US
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Telephone | 563-243-2511
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Fax |
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Provider Business Mailing Address
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Address Line | 419 N OAK ST
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City | ADAMS
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State | WI
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Zip | 53910-9401
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Country | US
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Telephone | 608-339-5250
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 12110-33
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License Number State | WI
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