Individual
MELINDA IKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
850 5TH AVE E, TUSCALOOSA, AL 35401-7419
(205) 348-1770
(205) 348-7216
Mailing address
PO BOX 2153 DEPT 5075, BIRMINGHAM, AL 35287-0001
(205) 348-1770
(205) 348-7216
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1-091442
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51540816
BCBS OF AL
AL
Enumeration date
01/30/2008
Last updated
12/12/2008
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