Provider Demographics
NPI:1821290776
Name:LUDWIG, MELANIE G (CRNP)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:G
Last Name:LUDWIG
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7
Mailing Address - Street 2:
Mailing Address - City:NICKTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15762-0007
Mailing Address - Country:US
Mailing Address - Phone:814-442-8284
Mailing Address - Fax:
Practice Address - Street 1:25 COLONY BLVD
Practice Address - Street 2:
Practice Address - City:BLAIRSVILLE
Practice Address - State:PA
Practice Address - Zip Code:15717-7971
Practice Address - Country:US
Practice Address - Phone:724-459-1700
Practice Address - Fax:724-594-1702
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2025-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP009421363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily