Provider Demographics
NPI:1851339683
Name:STEC, MELISSA (CNM, MSN)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:STEC
Suffix:
Gender:F
Credentials:CNM, MSN
Other - Prefix:
Other - First Name:MELISSA
Other - Middle Name:
Other - Last Name:WILLMARTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, APRN, CNM
Mailing Address - Street 1:3841 GREEN HILLS VILLAGE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-2691
Mailing Address - Country:US
Mailing Address - Phone:615-936-2000
Mailing Address - Fax:
Practice Address - Street 1:3601 THE VANDERBILT CLINIC
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-1404
Practice Address - Country:US
Practice Address - Phone:615-322-3000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-03
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.306755163W00000X
KY1109296163W00000X
OHAPRN.CNM.11913367A00000X
KY3004864363L00000X
KY4864M367A00000X
TN30721367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2658959Medicaid
KY78016680Medicaid
OH2658959Medicaid
KY78016680Medicaid
KYK007760Medicare PIN
KY0969462Medicare PIN