Katie Marie Melville, LPN
Individual provider Active NPI Licensed Practical Nurse · Cedar, MI
NPI 1386112720 · NPPES record last updated Nov 4, 2018
Key facts
- NPI
- 1386112720
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Licensed Practical Nurse 164W00000X
- License
- 4703105847 (MI)
- Practice address
- 13194 S Cedar Rd
Cedar, MI 49621-9581 - Phone
- (231) 357-3932
- NPI assigned
- Nov 4, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4703105847 | MI | MD | Licensed Practical Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 4703105847 | MI | Yes |
Addresses
Primary practice location
13194 S Cedar Rd
Cedar, MI 49621-9581
Mailing address
1169 Valley Dr
Traverse City, MI 49685-8920
Phone (616) 717-0247
Other providers in Cedar, MI
- Paul Kaye
- Christiaan S Krombeen
- Cindy Margit Kunde-Gale
- Andrew Howard Lindeman
- Debra Sue Long
- Kira Metcalf
- Paul Kaye, PH.D. P.C.
- Solon and Centerville TWP Fire Dept
- Trailhead Physical Therapy and Wellness, LLC
- True Self Counseling. LLC
All providers in Cedar, MI · Licensed Practical Nurse in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.