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NPI Code Detail

MEDICARE: EDUKE ROLINE MELLE

MEDICARE: EDUKE ROLINE MELLE
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
1363LP0808XPsychiatric/Mental Health Nurse PractitionerR229690MD
2374U00000XHome Health Aide
3171M00000XCase Manager/Care Coordinator
4163WH0200XHome Health Registered NurseRN1046368DC
5251S00000XCommunity/Behavioral Health Agency
6163W00000XRegistered NurseRN1046368DC

General Provider Information

NPI Number : 1174893101
Entity Type Code : Individual
Provider Name (Legal Business Name) : EDUKE ROLINE MELLE
Provider Business Mailing Address
First Line : 1301 LENFANT SQ SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-6724
Country : US
Telephone Number : 240-898-6226
Fax Number :
Provider Business Practice Location Address
First Line : 1301 LENFANT SQ SE
Second Line :
City : WASHINGTON
State : DC
Zip : 20020-6724
Country : US
Telephone Number : 240-898-6226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2012
Last Update Date : 11/20/2025

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Directions to “ EDUKE ROLINE MELLE ” Practice Location

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