Healthcare Provider Details

I. General information

NPI: 1528587797
Provider Name (Legal Business Name): MELINDA HEGYI APRN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/19/2017
Last Update Date: 05/14/2021
Certification Date: 05/14/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 REID PKWY STE 220
RICHMOND IN
47374-1160
US

IV. Provider business mailing address

1100 REID PKWY
RICHMOND IN
47374-1157
US

V. Phone/Fax

Practice location:
  • Phone: 765-962-9541
  • Fax: 765-966-5952
Mailing address:
  • Phone: 765-962-9541
  • Fax: 765-966-5952

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAPRN.CNP.021719
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number71010028A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: