Most Relevant Information
Provider Data
| NPI Number: | 1003027236 |
| Provider Name: | MELISSA MERICLE |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 109589 |
Most Important Dates
| Enumeration Date: | 05/28/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
3434 JOHNETTE ST
SHREVEPORT
LA
711052028
Practice Location Phone/Fax
| Phone: | 3188687204 |
| Fax: |
Provider Mailing Location
3434 JOHNETTE ST
SHREVEPORT
LA
711052028
Provider Mailing Phone/Fax
| Phone: | 3188687204 |
| Fax: |