Provider Demographics
NPI:1952819047
Name:NOLAN, MELANIE S (APN)
Entity type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:S
Last Name:NOLAN
Suffix:
Gender:F
Credentials:APN
Other - Prefix:
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Mailing Address - Street 1:2220 UNION AVE
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38104-4315
Mailing Address - Country:US
Mailing Address - Phone:901-567-3554
Mailing Address - Fax:901-567-3559
Practice Address - Street 1:7155 W CAMPO BELLO DR STE C120
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-8594
Practice Address - Country:US
Practice Address - Phone:602-363-0629
Practice Address - Fax:480-247-4179
Is Sole Proprietor?:No
Enumeration Date:2018-01-11
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TN23646363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health