Healthcare Provider Details
I. General information
NPI: 1649653601
Provider Name (Legal Business Name): MELANIE ANN ABNER APRN, CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/08/2015
Last Update Date: 10/18/2022
Certification Date: 10/18/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
245 FLEMINGSBURG RD STE A340
MOREHEAD KY
40351-1015
US
IV. Provider business mailing address
2620 ELM HILL PIKE
NASHVILLE TN
37214-3108
US
V. Phone/Fax
- Phone: 606-207-2931
- Fax: 606-783-0964
- Phone: 615-425-4200
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | 3009393 |
| License Number State | KY |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 367A00000X |
| Taxonomy | Advanced Practice Midwife |
| License Number | 3009393 |
| License Number State | KY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: