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NPI Code Detail

MEDICARE: MELISSA URCH

MEDICARE:   MELISSA  URCH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1134730476
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA URCH
Provider Business Mailing Address
First Line : 11123 STANLEY AUBIN LN
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-2160
Country : US
Telephone Number : 443-605-7363
Fax Number :
Provider Business Practice Location Address
First Line : 14635 S HARRELLS FERRY RD STE 3A
Second Line :
City : BATON ROUGE
State : LA
Zip : 70816-2960
Country : US
Telephone Number : 225-349-8984
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/11/2020
Last Update Date : 08/11/2020

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Directions to “ MELISSA URCH ” Practice Location

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