Individual
BRITTANY LYNNE MELVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
4296 5TH AVE, MARIANNA, FL 32446-2173
(850) 482-2061
(850) 633-5911
Mailing address
4296 5TH AVE, MARIANNA, FL 32446-2173
(850) 482-2061
(850) 633-5911
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
APRN-1892
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100751400
—
FL
01
—
2D241
BLUE CROSS BLUE SHIELD
FL
Enumeration date
03/19/2015
Last updated
04/29/2020
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