Provider Demographics
NPI:1467163675
Name:SCALES, MELISSA LINS (CRNP)
Entity Type:Individual
Prefix:MRS
First Name:MELISSA
Middle Name:LINS
Last Name:SCALES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:512 BENTMOOR DR
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:AL
Mailing Address - Zip Code:35080-8101
Mailing Address - Country:US
Mailing Address - Phone:205-332-4023
Mailing Address - Fax:
Practice Address - Street 1:2010 AVENUE F
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35218-1638
Practice Address - Country:US
Practice Address - Phone:205-785-7337
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-12-08
Last Update Date:2022-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-164635208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty