Healthcare Provider Details

I. General information

NPI: 1689779837
Provider Name (Legal Business Name): MELINDA WHITE DAVES NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/13/2006
Last Update Date: 11/16/2022
Certification Date: 11/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1205 N CENTER ST
HICKORY NC
28601-3759
US

IV. Provider business mailing address

1205 N CENTER ST
HICKORY NC
28601-3759
US

V. Phone/Fax

Practice location:
  • Phone: 828-328-2901
  • Fax: 828-327-6223
Mailing address:
  • Phone: 828-328-2901
  • Fax: 828-327-6223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number800064
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: