Provider Demographics
NPI:1336573575
Name:FREEMAN, MELANIE (CNA)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 TIBBETTS HILL RD
Mailing Address - Street 2:
Mailing Address - City:GOFFSTOWN
Mailing Address - State:NH
Mailing Address - Zip Code:03045-3023
Mailing Address - Country:US
Mailing Address - Phone:781-835-0453
Mailing Address - Fax:
Practice Address - Street 1:420 TIBBETTS HILL RD
Practice Address - Street 2:
Practice Address - City:GOFFSTOWN
Practice Address - State:NH
Practice Address - Zip Code:03045-3023
Practice Address - Country:US
Practice Address - Phone:781-835-0453
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-23
Last Update Date:2013-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide