Provider Demographics
NPI:1063714830
Name:DRYDEN, MELANIE L (ARNP-C)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:L
Last Name:DRYDEN
Suffix:
Gender:F
Credentials:ARNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 MEDICAL CT E
Mailing Address - Street 2:
Mailing Address - City:INVERNESS
Mailing Address - State:FL
Mailing Address - Zip Code:34452-4612
Mailing Address - Country:US
Mailing Address - Phone:352-726-7667
Mailing Address - Fax:352-726-8193
Practice Address - Street 1:800 MEDICAL CT E
Practice Address - Street 2:
Practice Address - City:INVERNESS
Practice Address - State:FL
Practice Address - Zip Code:34452-4612
Practice Address - Country:US
Practice Address - Phone:352-726-7667
Practice Address - Fax:352-726-8193
Is Sole Proprietor?:No
Enumeration Date:2010-11-29
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9204461163WM0102X, 163WR1000X, 163WX0002X, 163WW0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WW0101XNursing Service ProvidersRegistered NurseWomen's Health Care, Ambulatory
No163WM0102XNursing Service ProvidersRegistered NurseMaternal Newborn
No163WR1000XNursing Service ProvidersRegistered NurseReproductive Endocrinology/Infertility
No163WX0002XNursing Service ProvidersRegistered NurseObstetric, High-Risk
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003063900Medicaid
FLY07SVOtherBCBS