Provider Demographics
NPI:1528787918
Name:MINTER, MELINDA M (CNA)
Entity type:Individual
Prefix:
First Name:MELINDA
Middle Name:M
Last Name:MINTER
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:132 AUGUSTA SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:CRAIGSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24430-2421
Mailing Address - Country:US
Mailing Address - Phone:540-430-2178
Mailing Address - Fax:
Practice Address - Street 1:132 AUGUSTA SPRINGS RD
Practice Address - Street 2:
Practice Address - City:CRAIGSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24430-2421
Practice Address - Country:US
Practice Address - Phone:540-430-2178
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide