Douglas, Melinda A
Douglas, Melinda A is an individual health care provider with primary practice located at 640 Alden St , Meadville PA 16335-2348. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Douglas, Melinda A can be contacted via phone (814) 373-5266.Contact Information
Primary practice address
640 Alden St
Meadville PA 16335-2348
Phone: (814) 373-5266
Fax: (814) 373-5269
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | SP011406 | Pennsylvania |
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP011406 | Pennsylvania |
Profile Details
| NPI number | 1679845192 |
|---|---|
| LBN Legal business name | Douglas, Melinda A |
| Credentials | CRNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 30th, 2012 |
| Last updated | Feb 2nd, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679845192 | NPPES |
| Pennsylvania | Other | SP011406 | PA STATE BOARD OF NURSING |
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