Individual provider · Type 1 NPI

Melissa Lynn Vandiver, MN-FNP

Primary Care Nurse Practitioner · New Orleans, LA

NPI number 1164836136 Active

Practice location

1936 Magazine St
New Orleans, LA 70130-5016

Fax (985) 888-1838

Mailing address

119 Charwood Dr
Pearl River, LA 70452-3701

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XAP07833 (LA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1164836136

Melissa Lynn Vandiver, MN-FNP's National Provider Identifier is 1164836136, issued on Jun 17, 2014. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in New Orleans, LA. The record was last updated on May 6, 2025.