Provider Demographics
NPI:1730876640
Name:MELVIN, DENISE
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:MELVIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34A OLD GAGE HILL RD
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03076-4606
Mailing Address - Country:US
Mailing Address - Phone:805-341-2482
Mailing Address - Fax:
Practice Address - Street 1:34A OLD GAGE HILL RD
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:NH
Practice Address - Zip Code:03076-4606
Practice Address - Country:US
Practice Address - Phone:978-902-6967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula