Individual provider · Type 1 NPI

Mallory Lynn Melvin

Student in an Organized Health Care Education/Training Program · Eau Claire, WI

NPI number 1396203543 Active

Practice location

105 Garfield Ave
Eau Claire, WI 54701-4811

Call (715) 965-2752 Map

Mailing address

9640 Rangeline Rd
Wisconsin Rapids, WI 54494-9100

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1396203543

Mallory Lynn Melvin's National Provider Identifier is 1396203543, issued on Mar 6, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Eau Claire, WI. The record was last updated on Jun 13, 2019.