MEDICARE: MELANIE HOWARD APRN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	RN140328	GA
2	364S00000X	Clinical Nurse Specialist	RN140328	GA

General Provider Information

NPI Number	:	1154798775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE HOWARD APRN

Provider Business Mailing Address
First Line	:	2613 GOVERNOR ST
Second Line	:
City	:	GARDEN CITY
State	:	GA
Zip	:	31408-2301
Country	:	US
Telephone Number	:	912-349-6728
Fax Number	:

Provider Business Practice Location Address
First Line	:	2613 GOVERNOR ST
Second Line	:
City	:	GARDEN CITY
State	:	GA
Zip	:	31408-2301
Country	:	US
Telephone Number	:	912-349-6728
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2015
Last Update Date	:	02/04/2016

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Directions to “ MELANIE HOWARD APRN” Practice Location

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