Melanie G. Petchak in Shreveport - School
Melanie G. Petchak - NPI 1336363845
Melanie G. Petchak is a School in Shreveport, Louisiana. Melanie G. Petchak practices all healthcare services and medical treatments related to School. The NPI Number for Melanie G. Petchak is 1336363845. The last update date is 2007-07-08.
Melanie G. Petchak's current location address is 1 Saint Mary Pl, Shreveport, Louisiana. You can contact this provider via phone number 3188611671. The mailing address for Melanie G. Petchak is 1 Saint Mary Pl, Shreveport, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melanie G. Petchak |
|---|---|
| Address | 1 Saint Mary Pl, Shreveport, Louisiana |
| Phone Number | 3188611671 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | NP-BC |
NPI Number Detail
| NPI Number | 1336363845 |
|---|---|
| Provider Enumeration Date | 2007-04-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 Saint Mary Pl |
|---|---|
| City | Shreveport |
| State | Louisiana (LA) |
| Post Code | 711014343 |
| Phone Number | 3188611671 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | School |
|---|---|
| Taxonomy | 363Ls0200X |
| Licence No | 3820 |
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Definition: An advanced practice registered nurse expert in providing healthcare services to students and supporting health promotion efforts in school settings. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1166430 | LA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Melanie G. Petchak by the Centers for Medicare & Medicaid Services?
The Melanie G. Petchak has been assigned the NPI (National Provider Identifier) 1336363845 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you kindly provide the complete physical address where Melanie G. Petchak's facilities are geographically located?
The facilities of Melanie G. Petchak are physically situated at the following location: 1 Saint Mary Pl, Shreveport, LA, 711014343.
What is the area of specialization for Melanie G. Petchak, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Melanie G. Petchak is School, and the corresponding taxonomy code that categorizes this area of expertise is 363Ls0200X.
On what date was the 1336363845 assigned to Melanie G. Petchak?
The Melanie G. Petchak was issued its 1336363845 on 2007-04-13, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Melanie G. Petchak, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Melanie G. Petchak, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.