Healthcare Provider Details

I. General information

NPI: 1295679363
Provider Name (Legal Business Name): MELINA MARIE OLIVER CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/17/2026
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2200 WHITNEY AVE
HAMDEN CT
06518-3691
US

IV. Provider business mailing address

117 WOOSTER ST APT 6
NEW HAVEN CT
06511-5721
US

V. Phone/Fax

Practice location:
  • Phone: 203-200-0417
  • Fax:
Mailing address:
  • Phone: 203-494-9272
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: