Provider Demographics
NPI:1255576500
Name:LOWE, MELANIE DEE (APN)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:DEE
Last Name:LOWE
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:DEE
Other - Last Name:HOFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:125 INDIAN LAKE BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37075-6211
Mailing Address - Country:US
Mailing Address - Phone:615-824-1616
Mailing Address - Fax:615-824-1622
Practice Address - Street 1:125 INDIAN LAKE BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:HENDERSONVILLE
Practice Address - State:TN
Practice Address - Zip Code:37075-6211
Practice Address - Country:US
Practice Address - Phone:615-824-1616
Practice Address - Fax:615-824-1622
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-15
Last Update Date:2010-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNAPN0000013657363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health