Rader, Melinda

Rader, Melinda is an individual health care provider with primary practice located at 3008 Happy Landing Dr , Springfield IL 62711-6259. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Rader, Melinda can be contacted via phone (253) 346-0133.

Contact Information

Primary practice address
3008 Happy Landing Dr Springfield IL 62711-6259
Phone: (253) 346-0133
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X AP8620 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 277.002586 Illinois

Profile Details

NPI number 1710379227
LBN Legal business name Rader, Melinda
Credentials PMHNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 21st, 2015
Last updated May 31st, 2024 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1710379227 NPPES
Arizona MEDICAID 305759

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