Individual provider · Type 1 NPI
Melanie G. Petchak, NP-BC
Family Nurse Practitioner · Shreveport, LA
NPI number
1336363845
Active
Practice location
7611 Saint Vincent Ave
Shreveport, LA 71106-4231
Mailing address
1 Saint Mary Pl
Shreveport, LA 71101-4343
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | APO3820 (LA) |
Family Nurse Practitioner: Definition to come...
3 other providers at this address
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About NPI 1336363845
Melanie G. Petchak, NP-BC's National Provider Identifier is 1336363845, issued on Apr 13, 2007. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Shreveport, LA. The record was last updated on Nov 19, 2024.