Provider Demographics
NPI:1659743052
Name:CORNE, MELODEE ANGELA (CNM)
Entity Type:Individual
Prefix:MS
First Name:MELODEE
Middle Name:ANGELA
Last Name:CORNE
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:100 S. BOYLAN AVE
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603
Mailing Address - Country:US
Mailing Address - Phone:919-833-7526
Mailing Address - Fax:919-832-9061
Practice Address - Street 1:100 S. BOYLAN AVE
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-2512
Practice Address - Country:US
Practice Address - Phone:919-833-7526
Practice Address - Fax:919-832-9061
Is Sole Proprietor?:No
Enumeration Date:2015-10-24
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC885367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife