Individual
MRS. MELO-DEE COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPCNP-BC
Contact information
Practice address
330 N WABASH AVE STE 170, MARION, IN 46952-2696
(765) 660-6670
(765) 671-3392
Mailing address
330 N WABASH AVE STE G-20, MARION, IN 46952-2605
(765) 660-7600
(765) 651-7313
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
71005335B
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001135998
ANTHEM
IN
05
—
300009465
—
IN
Enumeration date
02/04/2015
Last updated
10/21/2020
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