Theresa M. Meloche, ARNP
Nurse Practitioner, Family in Spring Hill, FL. Individual provider (NPI-1).
NPI number1568791069
StatusActive
Last updated in NPPESNov 13, 2016
Details
- NPI
- 1568791069
- Entity type
- Individual (NPI-1)
- Name
- Theresa M. Meloche
- Credential
- ARNP
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 11, 2009
- Last updated
- Nov 13, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | ARNP9167432 | FL | Yes |
| 363LF0000X | Nurse Practitioner, Family | 209007485 | IL | |
| 363LF0000X | Nurse Practitioner, Family | AP 3655 | AZ | |
| 363LF0000X | Nurse Practitioner, Family | 209-007485 | IL |
Practice location
4142 Mariner Blvd#243
Spring Hill, FL 34609-0000
Phone 800-561-4325
Mailing address
4142 Mariner Blvd#243
Spring Hill, FL 34609-0000
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