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NPI Code Detail

MEDICARE: MELINDA B MCLANE CRNP

MEDICARE: MELINDA B MCLANE CRNP
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
1363L00000XNurse PractitionerSP012498PA

General Provider Information

NPI Number : 1912331968
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELINDA B MCLANE CRNP
Provider Business Mailing Address
First Line : 15 SCHOOL HOUSE LN
Second Line :
City : WILLIAMS TOWNSHIP
State : PA
Zip : 18042-8776
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 3735 NAZARETH RD STE 206
Second Line :
City : EASTON
State : PA
Zip : 18045-8346
Country : US
Telephone Number : 484-503-8281
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/27/2013
Last Update Date : 12/02/2025

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