Healthcare Provider Details

I. General information

NPI: 1346719184
Provider Name (Legal Business Name): MELISSA ANN HAIL FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/23/2018
Last Update Date: 07/14/2025
Certification Date: 07/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13450 N MERIDIAN ST STE 354
CARMEL IN
46032-1486
US

IV. Provider business mailing address

6101 BLUE LAGOON DR STE 200
MIAMI FL
33126-3168
US

V. Phone/Fax

Practice location:
  • Phone: 317-582-8931
  • Fax: 317-582-8932
Mailing address:
  • Phone: 317-969-7935
  • Fax: 877-550-2158

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71008782A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: