Gavin, Melodie A
Gavin, Melodie A is an individual health care provider with primary practice located at 909 E State Blvd , Fort Wayne IN 46805. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gavin, Melodie A can be contacted via phone (260) 481-2700.Contact Information
Primary practice address
909 E State Blvd
Fort Wayne IN 46805
Phone: (260) 481-2700
Fax: (260) 481-2709
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Registered Nurse | 163W00000X | 28184959A | Indiana |
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health | 363LP0808X | 71008261A | Indiana |
Profile Details
NPI number | 1053725085 |
---|---|
LBN Legal business name | Gavin, Melodie A |
Credentials | Registered Nurse (RN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 18th, 2014 |
Last updated | Oct 11th, 2022 - about 2 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.
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