Individual
JULIE A MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
7150 CLEARVISTA DR, INDIANAPOLIS, IN 46256-1695
(317) 621-5890
Mailing address
6626 E 75TH ST, SUITE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
28109739A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164486239
NPI
—
05
—
200250060
—
IN
Enumeration date
04/14/2006
Last updated
11/27/2023
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