Provider Demographics
NPI:1679615777
Name:MELVIN, SHARON ALLEN
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:ALLEN
Last Name:MELVIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3746 STEDMAN CEDAR CREEK RD
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28312-7599
Mailing Address - Country:US
Mailing Address - Phone:610-678-2084
Mailing Address - Fax:
Practice Address - Street 1:3746 STEDMAN CEDAR CREEK RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28312-7599
Practice Address - Country:US
Practice Address - Phone:610-678-2084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide