| Doctor Name: | MELANIE E. DINSMORE |
| NPI Number: | 1215378831 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-BC |
| License Number: | 73137 |
| Business Practice Address: | 314 Goff Mountain Rd Suite 3 Cross Lanes, WV - 253136602 |
| Business Phone Number: | 3043887070 |
| Business Fax Number: | 3043887075 |
| Mailing Address: | 415 Morris St, Suite 304 CHARLESTON |
| State: | WV |
| Postal Code: | 253011842 |
| Phone Number: | 3043887782 |
| Fax Number: | 3043887788 |
| NPI Enumeration Date: | 07/11/2013 |
| NPI Last Update Date: | 07/11/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 73137 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WV |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |