Doctor Name: | MRS. MELANIE VIRGINIE MELLO |
NPI Number: | 1285754119 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP-BC |
License Number: | ARNP 3167812 |
Business Practice Address: | 17201 Civic St. Okeechobee, FL - 34974 |
Business Phone Number: | 8637630271 |
Business Fax Number: | |
Mailing Address: | 20750 Nw 176th Ave, OKEECHOBEE |
State: | FL |
Postal Code: | 349723944 |
Phone Number: | 8637634149 |
Fax Number: | |
NPI Enumeration Date: | 04/02/2007 |
NPI Last Update Date: | 05/11/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | ARNP 3167812 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |