MEDICARE: VICTORIA LYNN MELHUISH DPM

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	213ES0103X	Foot & Ankle Surgery Podiatrist	9505	NV

General Provider Information

NPI Number	:	1063596765
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORIA LYNN MELHUISH DPM

Provider Business Mailing Address
First Line	:	2350 S CARSON ST STE 3
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89701-4530
Country	:	US
Telephone Number	:	775-783-8037
Fax Number	:	775-782-3787

Provider Business Practice Location Address
First Line	:	2350 S CARSON ST STE 3
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89701-4530
Country	:	US
Telephone Number	:	775-783-8037
Fax Number	:	775-782-3787

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/25/2006
Last Update Date	:	09/30/2021

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Directions to “ VICTORIA LYNN MELHUISH DPM” Practice Location

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