Provider Demographics
NPI:1124244215
Name:PADGETT, MELINDA CAROL (PA)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:CAROL
Last Name:PADGETT
Suffix:
Gender:F
Credentials:PA
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Mailing Address - Street 1:1515 ESCALONA DR
Mailing Address - Street 2:
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-3311
Mailing Address - Country:US
Mailing Address - Phone:831-459-2636
Mailing Address - Fax:831-459-3546
Practice Address - Street 1:UNIVERSITY OF CALIFORNIA, SANTA CRUZ, STUDENT HEALTH
Practice Address - Street 2:1156 HIGH STREET
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95064
Practice Address - Country:US
Practice Address - Phone:831-459-2636
Practice Address - Fax:831-459-3546
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
CA13610363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant