Provider Demographics
NPI:1073919296
Name:MELTON, ELIZABETH ANNE (APRN, FNP, CNM)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:ANNE
Last Name:MELTON
Suffix:
Gender:F
Credentials:APRN, FNP, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
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Mailing Address - Street 1:5880 PELHAM DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89502-9730
Mailing Address - Country:US
Mailing Address - Phone:775-771-1390
Mailing Address - Fax:602-354-9272
Practice Address - Street 1:1001 PYRAMID WAY STE 206
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:NV
Practice Address - Zip Code:89431-4470
Practice Address - Country:US
Practice Address - Phone:775-771-1390
Practice Address - Fax:602-354-9272
Is Sole Proprietor?:No
Enumeration Date:2014-11-16
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV831699363LF0000X, 367A00000X
AZRN118512163WL0100X
NVRN31731163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife