Staten, Melinda L

Staten, Melinda L is an individual health care provider with primary practice located at 3924 S Dupont Sq Ste A , Louisville KY 40207. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Urology, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Staten, Melinda L can be contacted via phone (502) 893-3510.

Contact Information

Primary practice address
3924 S Dupont Sq Ste A Louisville KY 40207
Phone: (502) 893-3510
Fax: (502) 894-9863
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Urology 163WU0100X 3001777 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 3001777 Kentucky

Profile Details

NPI number 1659375590
LBN Legal business name Staten, Melinda L
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jan 22nd, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1659375590 NPPES
Kentucky MEDICAID 78000668

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