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NPI Code Detail

MEDICARE: MELINDA MENKE MSN, FNP-C

MEDICARE: MELINDA MENKE MSN, FNP-C
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
1363LF0000XFamily Nurse Practitioner95037121CA
2163W00000XRegistered Nurse1655315CO
3163W00000XRegistered Nurse95415333CA

General Provider Information

NPI Number : 1578056453
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA MENKE MSN, FNP-C
Provider Business Mailing Address
First Line : 1504 CARLETON ST APT C
Second Line :
City : BERKELEY
State : CA
Zip : 94703-1872
Country : US
Telephone Number : 215-450-8313
Fax Number :
Provider Business Practice Location Address
First Line : 837 ADDISON ST
Second Line :
City : BERKELEY
State : CA
Zip : 94710-2047
Country : US
Telephone Number : 510-981-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/14/2018
Last Update Date : 09/22/2025

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