Individual
MELODY KAY TREVATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNNP
Contact information
Practice address
2122 MANCHESTER EXPY, COLUMBUS, GA 31904-6878
(706) 320-2773
(706) 596-4226
Mailing address
2300 MANCHESTER EXPY STE 2001A, COLUMBUS, GA 31904-6802
(706) 320-3126
(706) 320-3054
Taxonomy
Speciality
Code
Description
License number
State
363LN0000X
Neonatal Nurse Practitioner
Primary
RN082035
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
168374
—
AL
05
—
690662130B
—
GA
Enumeration date
09/18/2008
Last updated
08/07/2024
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