Provider Demographics
NPI:1679824601
Name:MELTON, LEAH DAWN (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:LEAH
Middle Name:DAWN
Last Name:MELTON
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Gender:F
Credentials:APRN-CNP
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Mailing Address - Street 1:1010 24TH AVE NW
Mailing Address - Street 2:STE 110
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73069-6488
Mailing Address - Country:US
Mailing Address - Phone:405-307-6630
Mailing Address - Fax:405-307-6660
Practice Address - Street 1:1010 24TH AVE NW
Practice Address - Street 2:STE 110
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73069-6488
Practice Address - Country:US
Practice Address - Phone:405-801-4050
Practice Address - Fax:405-701-3082
Is Sole Proprietor?:No
Enumeration Date:2012-10-01
Last Update Date:2018-10-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OK76737363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner