| Doctor Name: | MRS. DIXIE ANN MELTON |
| NPI Number: | 1578547998 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | CFNP |
| License Number: | R41976 |
| Business Practice Address: | 115 Cedar Street Ignacio, CO - 811370707 |
| Business Phone Number: | 9075639388 |
| Business Fax Number: | 9705639398 |
| Mailing Address: | Po Box 612, IGNACIO |
| State: | CO |
| Postal Code: | 811370612 |
| Phone Number: | 9705634250 |
| Fax Number: | |
| NPI Enumeration Date: | 11/30/2005 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | R41976 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NM |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |