Gavin, Melodie A

Gavin, Melodie A is an individual health care provider with primary practice located at 909 E State Blvd , Fort Wayne IN 46805. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gavin, Melodie A can be contacted via phone (260) 481-2700.

Contact Information

Primary practice address
909 E State Blvd Fort Wayne IN 46805
Phone: (260) 481-2700
Fax: (260) 481-2709
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 28184959A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71008261A Indiana

Profile Details

NPI number 1053725085
LBN Legal business name Gavin, Melodie A
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2014
Last updated Oct 11th, 2022 - about 4 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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