Individual
NANCY R. MELLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
15795 PAUL VEGA MD DR, HAMMOND, LA 70403
(985) 230-2630
(985) 230-2634
Mailing address
PO BOX 2668, BUSINESS CTR - INS CREDENTIALING, HAMMOND, LA 70404-2668
(985) 230-1682
(985) 230-6652
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
020570
LA
207YS0012X
Sleep Medicine (Otolaryngology) Physician
Primary
020570
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922391
—
LA
Enumeration date
07/19/2005
Last updated
01/12/2026
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