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NPI 1902761810

NPI 1902761810 : MELROSMA HEALTH AND WELLNESS, LLC : CROWNSVILLE, MD

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General NPI Number Information
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    NPI Number           |    1902761810
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    Entity Type          |    Organization 
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    Legal Business Name  |    MELROSMA HEALTH AND WELLNESS, LLC 
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Dates
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    Enumeration Date     |    12/23/2025
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    Last Update Date     |    12/23/2025
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Provider Practice Location Address
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    Address Line         |    2110 CREEKS FARM LN 
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    City                 |    CROWNSVILLE
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    State                |    MD
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    Zip                  |    21032-2221
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    Country              |    US
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    Telephone            |    301-531-4167
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    Fax                  |    888-761-8826
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Provider Business Mailing Address
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    Address Line         |    2110 CREEKS FARM LN 
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    City                 |    CROWNSVILLE
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    State                |    MD
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    Zip                  |    21032-2221
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    Country              |    US
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    Telephone            |    301-531-4167
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    Fax                  |    888-761-8826
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MELINDIA  MANN 
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    Credential           |    DNP
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    Telephone            |    301-531-4167
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LW0102X
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    Taxonomy Name        |    Women's Health Nurse Practitioner
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    License Number       |    
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    License Number State |    
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