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NPI Code Detail

MEDICARE: MELINDA C NWANGANGA FNP

MEDICARE: MELINDA C NWANGANGA FNP
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
1363LF0000XFamily Nurse Practitioner28157855AIN

General Provider Information

NPI Number : 1386192870
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA C NWANGANGA FNP
Provider Business Mailing Address
First Line : 4501 LINCOLNWAY E
Second Line :
City : MISHAWAKA
State : IN
Zip : 46544-4035
Country : US
Telephone Number : 574-255-4729
Fax Number :
Provider Business Practice Location Address
First Line : 4501 LINCOLNWAY E
Second Line :
City : MISHAWAKA
State : IN
Zip : 46544-4035
Country : US
Telephone Number : 574-255-4729
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2016
Last Update Date : 03/09/2023

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