MEDICARE: MELISSA LYNN COULTER ARNP

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	363L00000X	Nurse Practitioner	H157943	IA

General Provider Information

NPI Number	:	1841823622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA LYNN COULTER ARNP

Provider Business Mailing Address
First Line	:	2360 PEBBLE CREEK DR
Second Line	:
City	:	MARION
State	:	IA
Zip	:	52302-6484
Country	:	US
Telephone Number	:	563-608-5363
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 10TH ST SE STE 165
Second Line	:
City	:	CEDAR RAPIDS
State	:	IA
Zip	:	52403-2433
Country	:	US
Telephone Number	:	319-297-2900
Fax Number	:

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

Provider Enumeration Date	:	02/19/2020
Last Update Date	:	08/25/2025

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