Individual
MARA MELDAHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHNP
Contact information
Practice address
711 GREEN RD, MADISON, IN 47250-2199
(812) 265-2611
Mailing address
415 CLIFTY DR, MADISON, IN 47250-1607
(812) 599-6440
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28200381A
IN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
71017755B
IN
Other
Enumeration date
12/29/2025
Last updated
03/11/2026
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