Provider Demographics
NPI:1982316352
Name:ABNER, MELANIE (RN)
Entity Type:Individual
Prefix:MS
First Name:MELANIE
Middle Name:
Last Name:ABNER
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 1:35 S JOHNSON ST STE 1D
Mailing Address - Street 2:
Mailing Address - City:PONTIAC
Mailing Address - State:MI
Mailing Address - Zip Code:48341-1660
Mailing Address - Country:US
Mailing Address - Phone:248-838-3686
Mailing Address - Fax:248-621-9626
Practice Address - Street 1:35 S JOHNSON ST STE 1D
Practice Address - Street 2:
Practice Address - City:PONTIAC
Practice Address - State:MI
Practice Address - Zip Code:48341-1660
Practice Address - Country:US
Practice Address - Phone:248-838-3686
Practice Address - Fax:248-621-9626
Is Sole Proprietor?:No
Enumeration Date:2022-12-16
Last Update Date:2022-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704277433163WA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA0400XNursing Service ProvidersRegistered NurseAddiction (Substance Use Disorder)