Provider Demographics
NPI:1043273923
Name:MELDE, KAREN JOAN (NP)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:JOAN
Last Name:MELDE
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:410 PEACHTREE PKWY STE 4260
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-7407
Mailing Address - Country:US
Mailing Address - Phone:678-990-2501
Mailing Address - Fax:678-990-2505
Practice Address - Street 1:410 PEACHTREE PKWY STE 4260
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30041-7407
Practice Address - Country:US
Practice Address - Phone:678-990-2501
Practice Address - Fax:678-990-2505
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN091317363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
GARN091317OtherRN LICENSURE