Provider Demographics
NPI:1275361917
Name:HAGGARD, MELANIE SKARLETTE (DNP)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:SKARLETTE
Last Name:HAGGARD
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1720 GLEN COVE CT
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-4033
Mailing Address - Country:US
Mailing Address - Phone:775-343-6404
Mailing Address - Fax:
Practice Address - Street 1:635 INNOVATION DR UNIT 300
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-2633
Practice Address - Country:US
Practice Address - Phone:775-329-6241
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-24
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NV881948363LW0102X
NVRN94127163WX0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
No163WX0003XNursing Service ProvidersRegistered NurseObstetric, Inpatient