MEDICARE: MELANIE ADA HUTTON

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	374J00000X	Doula
2	174N00000X	Lactation Consultant (Non-RN)	L-319949	NJ

General Provider Information

NPI Number	:	1639785215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELANIE ADA HUTTON

Provider Business Mailing Address
First Line	:	145 S ARLINGTON AVE APT D
Second Line	:
City	:	EAST ORANGE
State	:	NJ
Zip	:	07018-2901
Country	:	US
Telephone Number	:	973-563-1669
Fax Number	:

Provider Business Practice Location Address
First Line	:	1026 FRITZ AVE
Second Line	:
City	:	STROUDSBURG
State	:	PA
Zip	:	18360-1228
Country	:	US
Telephone Number	:	973-563-1669
Fax Number	:

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

Provider Enumeration Date	:	09/19/2020
Last Update Date	:	12/21/2025

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Directions to “ MELANIE ADA HUTTON ” Practice Location

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