Individual
SHARON M MELINCAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
106 S CLAUDE A LORD BLVD, POTTSVILLE, PA 17901-3637
(570) 622-4209
Mailing address
5535 SPRING RIDGE DR W, MACUNGIE, PA 18062-9569
(570) 617-8230
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
VP006991C
PA
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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