Healthcare Provider Details

I. General information

NPI: 1942340096
Provider Name (Legal Business Name): MELHUISH & ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 02/07/2023
Certification Date: 02/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2350 S CARSON ST STE 3
CARSON CITY NV
89701-4530
US

IV. Provider business mailing address

2350 S CARSON ST STE 3
CARSON CITY NV
89701-4530
US

V. Phone/Fax

Practice location:
  • Phone: 775-783-8037
  • Fax: 775-783-3787
Mailing address:
  • Phone: 775-783-8037
  • Fax: 775-782-8037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number9505
License Number StateNV
# 3
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code213ES0131X
TaxonomyFoot Surgery Podiatrist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. VICTORIA LYN MELHUISH
Title or Position: PRESIDENT
Credential: DPM
Phone: 775-783-8037