Provider Demographics
NPI:1831339555
Name:FARRI, MELINDA ERICA (RN)
Entity type:Individual
Prefix:MS
First Name:MELINDA
Middle Name:ERICA
Last Name:FARRI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14851 E HAL CT
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33905-7537
Mailing Address - Country:US
Mailing Address - Phone:239-707-6179
Mailing Address - Fax:
Practice Address - Street 1:14851 E HAL CT
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33905-7537
Practice Address - Country:US
Practice Address - Phone:239-707-6179
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-21
Last Update Date:2009-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLRN2730442163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse