Provider Demographics
NPI:1427095256
Name:SHAMBLEY, MELODY N (CNM)
Entity type:Individual
Prefix:MRS
First Name:MELODY
Middle Name:N
Last Name:SHAMBLEY
Suffix:
Gender:F
Credentials:CNM
Other - Prefix:
Other - First Name:MELODY
Other - Middle Name:N
Other - Last Name:BURR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CNM
Mailing Address - Street 1:1248 HUFFMAN MILL RD STE 101
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27215-8700
Mailing Address - Country:US
Mailing Address - Phone:336-538-0089
Mailing Address - Fax:336-538-0097
Practice Address - Street 1:1248 HUFFMAN MILL RD STE 101
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27215
Practice Address - Country:US
Practice Address - Phone:336-538-0089
Practice Address - Fax:336-538-0097
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2592185Medicare ID - Type Unspecified