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NPI Code Detail

MEDICARE: MELISSA NEWELL CNM

MEDICARE: MELISSA NEWELL CNM
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
1367A00000XAdvanced Practice Midwife3001814KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205880630
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA NEWELL CNM
Provider Business Mailing Address
First Line : PO BOX 40
Second Line :
City : WHITESBURG
State : KY
Zip : 41858
Country : US
Telephone Number : 606-633-4823
Fax Number : 606-633-1874
Provider Business Practice Location Address
First Line : 226 MEDICAL PLAZA LN
Second Line :
City : WHITESBURG
State : KY
Zip : 41858-7425
Country : US
Telephone Number : 606-633-4871
Fax Number : 606-633-0883
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 01/04/2012

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Directions to “ MELISSA NEWELL CNM” Practice Location

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