MEDICARE: MRS. MELINDA MARIE MCKINLEY-THROOP NP

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	363LP2300X	Primary Care Nurse Practitioner	18053	CA

General Provider Information

NPI Number	:	1184999302
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. MELINDA MARIE MCKINLEY-THROOP NP

Provider Business Mailing Address
First Line	:	406 S 1ST AVE
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91006-3829
Country	:	US
Telephone Number	:	626-445-9661
Fax Number	:

Provider Business Practice Location Address
First Line	:	406 S 1ST AVE
Second Line	:
City	:	ARCADIA
State	:	CA
Zip	:	91006-3829
Country	:	US
Telephone Number	:	626-445-9661
Fax Number	:

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

Provider Enumeration Date	:	03/21/2012
Last Update Date	:	03/21/2012

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