Healthcare Provider Details

I. General information

NPI: 1841199932
Provider Name (Legal Business Name): MELANIE RENAE RHYNES RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2026
Last Update Date: 11/04/2026
Certification Date: 11/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

630 W 33RD ST
ADA OK
74820-8603
US

IV. Provider business mailing address

PO BOX 1359
ADA OK
74821-1359
US

V. Phone/Fax

Practice location:
  • Phone: 580-310-7340
  • Fax: 580-310-7284
Mailing address:
  • Phone: 580-310-7340
  • Fax: 580-310-7284

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License NumberR0136227
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: