Provider Demographics
NPI:1801678255
Name:PARMER, MELANIE JUNE (LPN)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:JUNE
Last Name:PARMER
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:232 EAST RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:COOPER
Mailing Address - State:ME
Mailing Address - Zip Code:04657
Mailing Address - Country:US
Mailing Address - Phone:717-799-0707
Mailing Address - Fax:
Practice Address - Street 1:12 BEECH ST
Practice Address - Street 2:
Practice Address - City:CALAIS
Practice Address - State:ME
Practice Address - Zip Code:04619-1203
Practice Address - Country:US
Practice Address - Phone:877-631-3318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-19
Last Update Date:2023-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELPN15024164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse