Individual
MELINDA HENDRIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
651 ARMORY RD, DELPHI, IN 46923-1910
(765) 448-8000
Mailing address
PO BOX 5545, LAFAYETTE, IN 47903-5545
(765) 448-8000
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
28197204A
IN
363LF0000X
Family Nurse Practitioner
Primary
71006242A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001016827
ANTHEM PROVIDER NUMBER
IN
05
—
201358540
—
IN
Enumeration date
11/30/2015
Last updated
10/19/2016
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