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Melanie G. Petchak, NP-BC
Family Nurse Practitioner in Shreveport, Louisiana
NPI 1336363845

Melanie G. Petchak is a Family Nurse Practitioner based in Shreveport, LA and is specialized in Family. Melanie G. Petchak practices in Shreveport, LA and has the professional credentials of NP-BC. The NPI Number for Melanie G. Petchak is 1336363845 and holds a License No. APO3820 (Louisiana).

The current practice location address for Melanie G. Petchak is 7611 Saint Vincent Ave, Shreveport, LA and can be reached out via phone at 318-861-1671.

Location: 7611 Saint Vincent Ave, Shreveport, LA, 71101-4343
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Provider Profile Details
NPI Number
1336363845
Provider Name
Melanie G. Petchak
Credential
NP-BC
Provider Entity Type
Individual
Gender
Female
Address
7611 Saint Vincent Ave, Shreveport, LA, 71101-4343
Phone Number
318-861-1671
Fax Number
Provider Enumeration Date
04/13/2007
Last Update Date
12/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1166430 05 LA
institution
Provider Business Practice Location Address Details
Address
7611 Saint Vincent Ave
City
State
Zip
71106-4231
Phone Number
318-861-1671
Fax Number
person
Provider Business Mailing Address Details
Address
7611 Saint Vincent Ave
City
State
Zip
71106-4231
Phone Number
318-861-1671
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
License No.
APO3820 (Louisiana)
Definition
Definition to come...
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