Healthcare Provider Details

I. General information

NPI: 1306150487
Provider Name (Legal Business Name): MELINDA JEAN CHERNEV APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/02/2010
Last Update Date: 07/16/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

445 CYPRESS ST SUITE 8
MANCHESTER NH
03103-3600
US

IV. Provider business mailing address

445 CYPRESS ST SUITE 8
MANCHESTER NH
03103-3600
US

V. Phone/Fax

Practice location:
  • Phone: 603-668-4079
  • Fax: 603-663-8605
Mailing address:
  • Phone: 603-668-4079
  • Fax: 603-663-8605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberCNS-00217
License Number StateNM
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number068270-23
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: