Provider Demographics
NPI:1891486460
Name:MELLINGTON, MARIA (APRN, CNM)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:MELLINGTON
Suffix:
Gender:F
Credentials:APRN, CNM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7111 N ADFORD TER
Mailing Address - Street 2:
Mailing Address - City:CITRUS SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34434-7566
Mailing Address - Country:US
Mailing Address - Phone:352-287-9030
Mailing Address - Fax:
Practice Address - Street 1:724 NW 43RD ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32607-6110
Practice Address - Country:US
Practice Address - Phone:352-332-7222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-16
Last Update Date:2023-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN9386412163W00000X
FLAPRN11022622367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No163W00000XNursing Service ProvidersRegistered Nurse