Provider Demographics
NPI:1932523313
Name:HUNSINGER, MELINDA KAY
Entity Type:Individual
Prefix:
First Name:MELINDA
Middle Name:KAY
Last Name:HUNSINGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55475 SANTA FE TRAIL STE 100
Mailing Address - Street 2:TELECARE CORPORATION
Mailing Address - City:YUCCA VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92284
Mailing Address - Country:US
Mailing Address - Phone:855-365-6558
Mailing Address - Fax:760-365-8369
Practice Address - Street 1:55475 SANTA FE TRAIL STE 100
Practice Address - Street 2:TELECARE CORPORATION
Practice Address - City:YUCCA VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92284
Practice Address - Country:US
Practice Address - Phone:855-365-6558
Practice Address - Fax:760-365-8369
Is Sole Proprietor?:No
Enumeration Date:2014-02-06
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAVN277132164X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164X00000XNursing Service ProvidersLicensed Vocational Nurse