MILISSA K SHORT — Medicare Enrolled Provider (PRACTITIONER - NURSE PRACTITIONER, WV)
MILISSA K SHORT — Medicare Enrolled Provider (PRACTITIONER - NURSE PRACTITIONER, WV) is one of 9,000 enrolled providers in the MedicareEnroll dataset. Key details — Name: MILISSA K SHORT; Type: Individual; NPI: 1003089905.
| Name | MILISSA K SHORT |
|---|---|
| Type | Individual |
| NPI | 1003089905 |
| Provider type | PRACTITIONER - NURSE PRACTITIONER |
| State | WV |
| Enrollment ID | I20090422000192 |
| Multiple NPI flag | N |
| Source | CMS Medicare FFS Public Provider Enrollment (PECOS) |
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