Healthcare Provider Details

I. General information

NPI: 1316322829
Provider Name (Legal Business Name): MELINDIA MANN DNP, CNM, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2015
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2110 CREEKS FARM LN
CROWNSVILLE MD
21032-2221
US

IV. Provider business mailing address

2110 CREEKS FARM LN
CROWNSVILLE MD
21032-2221
US

V. Phone/Fax

Practice location:
  • Phone: 301-531-4167
  • Fax:
Mailing address:
  • Phone: 301-531-4167
  • Fax: 888-761-8826

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberNP500013223
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberR251217
License Number StateMD
# 3
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberR251217
License Number StateMD
# 4
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberNP500013223
License Number StateDC
# 5
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberAC002073
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: