Healthcare Provider Details

I. General information

NPI: 1437219235
Provider Name (Legal Business Name): SHERI ANN MELLO AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 10/04/2023
Certification Date: 10/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10320 DURANT RD STE 107
RALEIGH NC
27614-6466
US

IV. Provider business mailing address

10320 DURANT RD STE 107
RALEIGH NC
27614-6466
US

V. Phone/Fax

Practice location:
  • Phone: 919-790-8889
  • Fax: 919-421-8804
Mailing address:
  • Phone: 919-790-8889
  • Fax: 919-421-8804

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number5093
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: