MEDICARE: MS. MELANIE ELISABETH MCCARVILLE L.P.N.

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	164W00000X	Licensed Practical Nurse	LP034909	AZ

General Provider Information

NPI Number	:	1083947253
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MELANIE ELISABETH MCCARVILLE L.P.N.

Provider Business Mailing Address
First Line	:	1946 E HEDRICK DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-2419
Country	:	US
Telephone Number	:	520-991-4345
Fax Number	:

Provider Business Practice Location Address
First Line	:	1946 E HEDRICK DR
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85719-2419
Country	:	US
Telephone Number	:	520-991-4345
Fax Number	:

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

Provider Enumeration Date	:	09/06/2009
Last Update Date	:	09/06/2009

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