Individual
MRS. MELINDA K HARDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.R.N.P
Contact information
Practice address
815 JACKSON TRACE RD, WETUMPKA, AL 36092-1504
(334) 567-2882
(334) 567-3361
Mailing address
815 JACKSON TRACE RD, WETUMPKA, AL 36092-1504
(334) 567-2882
(334) 567-3361
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1-025359
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051515816
BCBS
AL
05
—
540003434
—
AL
Enumeration date
07/26/2006
Last updated
04/21/2010
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