Provider Demographics
NPI:1174295778
Name:MEHLE, MELANIE GAIL SIDRAN (FNP)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:GAIL SIDRAN
Last Name:MEHLE
Suffix:
Gender:F
Credentials:FNP
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Mailing Address - Street 1:331 NEWMAN SPRINGS ROAD
Mailing Address - Street 2:BLDG. 2, SUITE 220
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701
Mailing Address - Country:US
Mailing Address - Phone:732-807-0877
Mailing Address - Fax:201-751-1680
Practice Address - Street 1:55 N GILBERT ST STE 2101
Practice Address - Street 2:
Practice Address - City:TINTON FALLS
Practice Address - State:NJ
Practice Address - Zip Code:07701-4957
Practice Address - Country:US
Practice Address - Phone:732-842-6677
Practice Address - Fax:732-530-2946
Is Sole Proprietor?:No
Enumeration Date:2021-10-01
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
COAPN.0996988-NP363LF0000X
NJ26NJ01395200363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily