Individual
MS. MELANIE D. SOULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
16 STERLING DR, SUITE 203, BRIDGEPORT, WV 26330-9132
(304) 326-2320
(304) 326-2323
Mailing address
PO BOX 1610, CLARKSBURG, WV 26302-1610
(304) 326-2320
(304) 326-2323
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
42870
WV
363LF0000X
Family Nurse Practitioner
2582
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP1265
—
SC
01
—
P00648641
RAILROAD MEDICARE ID
SC
01
—
P00799638
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
07/02/2008
Last updated
06/28/2016
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