Provider Demographics
NPI:1952395923
Name:MELANDER, SHEILA DRAKE (APRN)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:DRAKE
Last Name:MELANDER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:KAYE
Other - Last Name:MELANDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:APRN
Mailing Address - Street 1:815 E PARRISH AVE
Mailing Address - Street 2:SUITE 330
Mailing Address - City:OWENSBORO
Mailing Address - State:KY
Mailing Address - Zip Code:42303-3222
Mailing Address - Country:US
Mailing Address - Phone:270-926-2998
Mailing Address - Fax:270-926-1181
Practice Address - Street 1:317 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WILMORE
Practice Address - State:KY
Practice Address - Zip Code:40390-1323
Practice Address - Country:US
Practice Address - Phone:859-858-0339
Practice Address - Fax:859-858-0341
Is Sole Proprietor?:No
Enumeration Date:2005-09-07
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000121082163W00000X
KY3223P363LA2100X
IN28107289A363LA2100X
KY3003223363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY78007085Medicaid
IN200393570Medicaid
KY78007085Medicaid