Provider Demographics
NPI:1578610267
Name:MELVIN, DONNA MARIE (MSN, CRNP)
Entity Type:Individual
Prefix:MRS
First Name:DONNA
Middle Name:MARIE
Last Name:MELVIN
Suffix:
Gender:F
Credentials:MSN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:107 S SHADY RETREAT RD
Mailing Address - Street 2:
Mailing Address - City:DOYLESTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18901-2620
Mailing Address - Country:US
Mailing Address - Phone:215-356-3186
Mailing Address - Fax:
Practice Address - Street 1:205 NEWTOWN RD STE 219
Practice Address - Street 2:
Practice Address - City:WARMINSTER
Practice Address - State:PA
Practice Address - Zip Code:18974-5207
Practice Address - Country:US
Practice Address - Phone:215-675-8847
Practice Address - Fax:215-675-6534
Is Sole Proprietor?:No
Enumeration Date:2007-01-04
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP006974C363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA051206Medicare ID - Type Unspecified