Provider Demographics
NPI:1295911758
Name:MANUEL, MELINDA DALAODAO (RN)
Entity type:Individual
Prefix:MRS
First Name:MELINDA
Middle Name:DALAODAO
Last Name:MANUEL
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:MELINDA
Other - Middle Name:DALAODAO
Other - Last Name:STRUBLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:335 GEORGE STREET
Mailing Address - Street 2:4TH FLOOR
Mailing Address - City:NEW BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08901
Mailing Address - Country:US
Mailing Address - Phone:973-972-6072
Mailing Address - Fax:
Practice Address - Street 1:50 BERGEN ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07102
Practice Address - Country:US
Practice Address - Phone:973-972-6073
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26N008166500163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse