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NPI Code Detail

MEDICARE: MR. NELSON FELIX MELLADO C.A.D.C

MEDICARE:  MR. NELSON FELIX MELLADO  C.A.D.C
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
1101YA0400XAddiction (Substance Use Disorder) Counselor00087IA

General Provider Information

NPI Number : 1821233743
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. NELSON FELIX MELLADO C.A.D.C
Provider Business Mailing Address
First Line : 220 LAFAYETTE ST
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-1746
Country : US
Telephone Number : 319-351-9760
Fax Number :
Provider Business Practice Location Address
First Line : 220 LAFAYETTE ST
Second Line :
City : IOWA CITY
State : IA
Zip : 52240-1746
Country : US
Telephone Number : 319-351-9760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/05/2008
Last Update Date : 12/05/2008

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Directions to “ MR. NELSON FELIX MELLADO C.A.D.C” Practice Location

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