Individual
MELANIE DIANE TILLEY
Active
Individual
MELANIE DIANE TILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
TILL-HCY5ZI
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1205391711
NPI
NC
Enumeration date
02/08/2019
Last updated
02/25/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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