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Individual

MRS. MELINDA L STATEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
3924 S DUPONT SQ STE A, LOUISVILLE, KY 40207
(502) 893-3510
(502) 894-9863
Mailing address
100 E LIBERTY ST, SUITE 800, LOUISVILLE, KY 40202-1434
(502) 239-9920
(502) 239-9936

Taxonomy

Speciality
Code
Description
License number
State
163WU0100X
Urology Registered Nurse
3001777
KY
363LW0102X
Women's Health Nurse Practitioner
Primary
3001777
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
78000668
KY
Enumeration date
06/09/2005
Last updated
01/22/2021
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