Provider Demographics
NPI:1205426087
Name:STERLING GREY, MELLONEY K (APRN)
Entity type:Individual
Prefix:MS
First Name:MELLONEY
Middle Name:K
Last Name:STERLING GREY
Suffix:
Gender:
Credentials:APRN
Other - Prefix:
Other - First Name:MELLONEY
Other - Middle Name:K
Other - Last Name:WILLIAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:907 GILA PL
Mailing Address - Street 2:
Mailing Address - City:KISSIMMEE
Mailing Address - State:FL
Mailing Address - Zip Code:34759-5936
Mailing Address - Country:US
Mailing Address - Phone:863-326-3011
Mailing Address - Fax:
Practice Address - Street 1:907 GILA PL
Practice Address - Street 2:
Practice Address - City:KISSIMMEE
Practice Address - State:FL
Practice Address - Zip Code:34759-5936
Practice Address - Country:US
Practice Address - Phone:863-326-3011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-01-25
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL11010830363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily