Provider Demographics
NPI:1972798205
Name:MELEDANDRI, NINA ANNE (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:NINA
Middle Name:ANNE
Last Name:MELEDANDRI
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:302 MOUNTAIN VIEW DR STE 103
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05446-8081
Mailing Address - Country:US
Mailing Address - Phone:802-860-3366
Mailing Address - Fax:
Practice Address - Street 1:302 MOUNTAIN VIEW DR STE 103
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:VT
Practice Address - Zip Code:05446-8081
Practice Address - Country:US
Practice Address - Phone:971-221-7421
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-10
Last Update Date:2021-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT0910129382171100000X
VT099.0129165175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist