Basic Information
Provider Information
NPI: 1215349006
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BHAMBRI
FirstName: MELANIE
MiddleName: NOYES
NamePrefix: MRS.
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1908 LENDEW ST
Address2:  
City: GREENSBORO
State: NC
PostalCode: 274087007
CountryCode: US
TelephoneNumber: 3362732835
FaxNumber: 3362744594
Practice Location
Address1: 1908 LENDEW ST
Address2:  
City: GREENSBORO
State: NC
PostalCode: 274087007
CountryCode: US
TelephoneNumber: 3362732835
FaxNumber: 3362744594
Other Information
ProviderEnumerationDate: 05/28/2014
LastUpdateDate: 05/28/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000XCNM539NCY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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