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NPI Code Detail

MEDICARE: MRS. MELISA JUNE FLANIGAN RN

MEDICARE: MRS. MELISA JUNE FLANIGAN RN
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
1163WC1500XCommunity Health Registered Nurse4704272457MI

General Provider Information

NPI Number : 1194478065
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELISA JUNE FLANIGAN RN
Provider Business Mailing Address
First Line : 157 W HOLLAND LAKE RD
Second Line :
City : SIDNEY
State : MI
Zip : 48885-9743
Country : US
Telephone Number : 989-802-2539
Fax Number :
Provider Business Practice Location Address
First Line : 30 HUNTER LN
Second Line :
City : CAMP HILL
State : PA
Zip : 17011-2400
Country : US
Telephone Number : 800-748-3243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2022
Last Update Date : 02/01/2022

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