Provider Demographics
NPI:1427235399
Name:MELHADO, LOLITA WINIFRED (ARNP, FNP, BC)
Entity type:Individual
Prefix:
First Name:LOLITA
Middle Name:WINIFRED
Last Name:MELHADO
Suffix:
Gender:F
Credentials:ARNP, FNP, BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12221 TOWNE LAKE DR
Mailing Address - Street 2:
Mailing Address - City:FORT MYERS
Mailing Address - State:FL
Mailing Address - Zip Code:33913-8185
Mailing Address - Country:US
Mailing Address - Phone:239-314-4126
Mailing Address - Fax:239-230-2124
Practice Address - Street 1:12221 TOWNE LAKE DR
Practice Address - Street 2:
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33913-8185
Practice Address - Country:US
Practice Address - Phone:239-314-4126
Practice Address - Fax:239-230-2124
Is Sole Proprietor?:No
Enumeration Date:2008-01-23
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN2915492207QH0002X
FLARNP2915492363LC1500X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No207QH0002XAllopathic & Osteopathic PhysiciansFamily MedicineHospice and Palliative Medicine
No363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity Health