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Melissa Sample (FNP)

Melissa Sample (FNP) is a health care provider specializes in Nurse Practitioner. She is associated with medical group practice TLP INC and is affiliated with hospital of Sky Lakes Medical Center.

profile-icon Basic Information

Practice Location 103 Waso, Chiloquin, OR 97624, US
Practice Location Phone541-880-2011
Practice Location Fax541-783-3273
Specialty InNurse Practitioner
Medical SchoolOther
Graduation Year2008
NPI ?1922250364
PECOS ID4183760424
Enrollment IDI20090930000264
Entity TypeIndividual
Enumeration Date ? Oct 16, 2008
Last Update Date ? Jan 15, 2015
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).
PECOS: Provider Enrollment, Chain, and Ownership System.

specialty-icon Specialties & Licenses of Melissa Sample

SpecialtySpecializationLicenseLicense State
Registered Nurse 099000635RNOregon
Nurse PractitionerFamily 200850150NPOregon

Medicare-icon Medicare Participation of Melissa Sample

Accepts Medicare AssignmentYes
Report Quality Measures
Use Electronic Health Records
Committed to Teart Health Through the Million HeartsĀ® initiative

affiliation-icon Hospital & Group Practice Affiliations of Melissa Sample

Medical Group PracticeTlp Inc
Affiliation 1 Sky Lakes Medical Center