Individual provider · Type 1 NPI
Melodie A. Gavin, RN
Psychiatric/Mental Health Nurse Practitioner · Fort Wayne, IN
NPI number
1053725085
Active
Practice location
909 E State Blvd
Fort Wayne, IN 46805
Fax (260) 481-2709
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Registered Nurse | 163W00000X | 28184959A (IN) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 71008261A (IN) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1053725085
Melodie A. Gavin, RN's National Provider Identifier is 1053725085, issued on Jun 18, 2014. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 11, 2022.