Provider Demographics
NPI:1801037833
Name:MANHIRE, MELODY (MSN, APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:MELODY
Middle Name:
Last Name:MANHIRE
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:636 DHARMA CIR
Mailing Address - Street 2:
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-4368
Mailing Address - Country:US
Mailing Address - Phone:407-619-9608
Mailing Address - Fax:
Practice Address - Street 1:636 DHARMA CIR
Practice Address - Street 2:
Practice Address - City:WINTER GARDEN
Practice Address - State:FL
Practice Address - Zip Code:34787-4368
Practice Address - Country:US
Practice Address - Phone:407-619-9608
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-21
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN 9284362163W00000X
FL11031088363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse