MEDICARE: NATASHA DENISE MELTON DNP, FNP-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
1	363LF0000X	Family Nurse Practitioner	1-143306	AL

General Provider Information

NPI Number	:	1972198372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NATASHA DENISE MELTON DNP, FNP-C

Provider Business Mailing Address
First Line	:	225 PERTHSHIRE WAY
Second Line	:
City	:	PELHAM
State	:	AL
Zip	:	35124-6267
Country	:	US
Telephone Number	:	205-222-8651
Fax Number	:

Provider Business Practice Location Address
First Line	:	774 SHADES MOUNTAIN PLZ
Second Line	:
City	:	HOOVER
State	:	AL
Zip	:	35226-1513
Country	:	US
Telephone Number	:	205-979-3381
Fax Number	:

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

Provider Enumeration Date	:	03/08/2021
Last Update Date	:	01/24/2023

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