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General NPI Number Information
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NPI Number | 1073919296
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Entity Type | Individual
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Provider Name | ELIZABETH ANNE MELTON APRN, FNP, CNM
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Gender | Female
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Dates
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Enumeration Date | 11/16/2014
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Last Update Date | 04/05/2024
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Provider Practice Location Address
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Address Line | 1001 PYRAMID WAY STE 206
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City | SPARKS
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State | NV
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Zip | 89431-4470
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Country | US
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Telephone | 775-771-1390
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Fax | 602-354-9272
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Provider Business Mailing Address
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Address Line | 5880 PELHAM DR
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City | RENO
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State | NV
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Zip | 89502-9730
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Country | US
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Telephone | 775-771-1390
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Fax | 602-354-9272
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 831699
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | RN118512
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 831699
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 163WL0100X
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Taxonomy Name | Lactation Consultant (Registered Nurse)
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License Number | RN31731
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License Number State | NV
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