Provider Demographics
NPI:1437209020
Name:MCLAIN, MELINDA 0'BRIANT (RN)
Entity Type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:0'BRIANT
Last Name:MCLAIN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3800 HILLSBOROUGH ST
Mailing Address - Street 2:CARROLL HEALTH CENTER
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27607-5237
Mailing Address - Country:US
Mailing Address - Phone:919-760-8535
Mailing Address - Fax:
Practice Address - Street 1:3800 HILLSBOROUGH ST
Practice Address - Street 2:CARROLL HEALTH CENTER
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27607-5237
Practice Address - Country:US
Practice Address - Phone:919-760-8535
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCCONFIDENTIAL INFO163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool