Individual
MELISSA ANN HINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
2215 PORTLAND AVE, LOUISVILLE, KY 40212-1033
(502) 774-8631
Mailing address
PO BOX 950244, LOUISVILLE, KY 40295-0244
(502) 953-4783
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
3010495
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100441280
—
KY
01
—
K209811
MEDICARE
KY
Enumeration date
09/03/2016
Last updated
08/07/2023
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