Provider Demographics
NPI:1265924138
Name:STRUTHOFF, MELINDA ANN (ARNP)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:ANN
Last Name:STRUTHOFF
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MELINDA
Other - Middle Name:ANN
Other - Last Name:MURRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:320 N EISENHOWER AVE
Mailing Address - Street 2:
Mailing Address - City:MASON CITY
Mailing Address - State:IA
Mailing Address - Zip Code:50401-1521
Mailing Address - Country:US
Mailing Address - Phone:641-424-2391
Mailing Address - Fax:641-243-7265
Practice Address - Street 1:320 N EISENHOWER AVE
Practice Address - Street 2:
Practice Address - City:MASON CITY
Practice Address - State:IA
Practice Address - Zip Code:50401-1521
Practice Address - Country:US
Practice Address - Phone:641-424-2391
Practice Address - Fax:641-243-7265
Is Sole Proprietor?:No
Enumeration Date:2018-06-05
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAG109030363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health