Provider Demographics
NPI:1730189531
Name:HODNE, MELINDA (RNP)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:
Last Name:HODNE
Suffix:
Gender:F
Credentials:RNP
Other - Prefix:
Other - First Name:MELINDA
Other - Middle Name:
Other - Last Name:FOX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RNP
Mailing Address - Street 1:PO BOX 16149
Mailing Address - Street 2:
Mailing Address - City:RUMFORD
Mailing Address - State:RI
Mailing Address - Zip Code:02916-0697
Mailing Address - Country:US
Mailing Address - Phone:401-453-9625
Mailing Address - Fax:401-435-7069
Practice Address - Street 1:593 EDDY ST
Practice Address - Street 2:APC 443
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903-4923
Practice Address - Country:US
Practice Address - Phone:401-453-9625
Practice Address - Fax:401-435-7069
Is Sole Proprietor?:No
Enumeration Date:2005-07-22
Last Update Date:2020-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RINPP37202363L00000X
RIAPRN01063363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0322288Medicaid
RI9023156Medicaid
MA0322288Medicaid
P66127Medicare UPIN
RI509023156Medicare PIN