Healthcare Provider Details

I. General information

NPI: 1568260644
Provider Name (Legal Business Name): MELANIE DAWN HOWARD RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELANIE DAWN LEAVITT N/A

II. Dates (important events)

Enumeration Date: 03/05/2025
Last Update Date: 03/05/2025
Certification Date: 03/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

401 PETER DANA POINT RD
INDIAN TWP ME
04668-5007
US

IV. Provider business mailing address

PO BOX 97
PRINCETON ME
04668-0097
US

V. Phone/Fax

Practice location:
  • Phone: 207-796-2321
  • Fax: 207-796-2195
Mailing address:
  • Phone: 207-796-2321
  • Fax: 207-796-2195

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN56650
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: