Provider Demographics
NPI:1144401902
Name:WEKONY, MELINDA CAROL (FNP)
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:CAROL
Last Name:WEKONY
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3306 EDGEFIELD RD
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27409-9004
Mailing Address - Country:US
Mailing Address - Phone:336-665-5985
Mailing Address - Fax:336-665-5986
Practice Address - Street 1:5870 SAMET DR
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-3646
Practice Address - Country:US
Practice Address - Phone:336-803-7311
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-21
Last Update Date:2023-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC201120363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2591793BOtherMEDICARE