Provider Demographics
NPI:1518303957
Name:BRANDS, MELISSA K (APRN-NP)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:K
Last Name:BRANDS
Suffix:
Gender:F
Credentials:APRN-NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:301 21ST AVE N
Mailing Address - Street 2:STE 100
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37203-1821
Mailing Address - Country:US
Mailing Address - Phone:615-329-5144
Mailing Address - Fax:
Practice Address - Street 1:201 ABRAHAM FLEXNER WAY
Practice Address - Street 2:SUITE 1101
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40202-3841
Practice Address - Country:US
Practice Address - Phone:502-581-1951
Practice Address - Fax:502-540-5137
Is Sole Proprietor?:No
Enumeration Date:2013-05-13
Last Update Date:2019-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY1115234363L00000X
TN25952363L00000X
KY3008051363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN201175500Medicaid
KY7100244860Medicaid
IN201175500Medicaid