Healthcare Provider Details

I. General information

NPI: 1366642423
Provider Name (Legal Business Name): MELINDA KAYE HOSKINS APRN, CNM, IBCLC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MELINDA KAYE FIEDLER HOSKINS APRN, CNM, IBCLC

II. Dates (important events)

Enumeration Date: 07/18/2007
Last Update Date: 05/24/2021
Certification Date: 05/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

707 N MINNESOTA ST STE C
CARSON CITY NV
89703-3900
US

IV. Provider business mailing address

PO BOX 99
MINDEN NV
89423-0099
US

V. Phone/Fax

Practice location:
  • Phone: 775-546-2850
  • Fax: 775-546-2868
Mailing address:
  • Phone: 775-546-2849
  • Fax: 775-546-2868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberRN 14195
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License NumberAPRN000941
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: