Provider Demographics
NPI:1508479411
Name:MELENDI, KENDALL DAY (APRN)
Entity Type:Individual
Prefix:
First Name:KENDALL
Middle Name:DAY
Last Name:MELENDI
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 W NORTH ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33604-6016
Mailing Address - Country:US
Mailing Address - Phone:813-767-3842
Mailing Address - Fax:
Practice Address - Street 1:6499 38TH AVE N STE B2
Practice Address - Street 2:
Practice Address - City:ST PETERSBURG
Practice Address - State:FL
Practice Address - Zip Code:33710-1650
Practice Address - Country:US
Practice Address - Phone:727-347-6635
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-28
Last Update Date:2020-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11008075363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily