Provider Demographics
NPI:1568260644
Name:HOWARD, MELANIE DAWN (RN)
Entity type:Individual
Prefix:
First Name:MELANIE
Middle Name:DAWN
Last Name:HOWARD
Suffix:
Gender:
Credentials:RN
Other - Prefix:
Other - First Name:MELANIE
Other - Middle Name:DAWN
Other - Last Name:LEAVITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:N/A
Mailing Address - Street 1:PO BOX 97
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:ME
Mailing Address - Zip Code:04668-0097
Mailing Address - Country:US
Mailing Address - Phone:207-796-2321
Mailing Address - Fax:207-796-2195
Practice Address - Street 1:401 PETER DANA POINT RD
Practice Address - Street 2:
Practice Address - City:INDIAN TWP
Practice Address - State:ME
Practice Address - Zip Code:04668-5007
Practice Address - Country:US
Practice Address - Phone:207-796-2321
Practice Address - Fax:207-796-2195
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MERN56650163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse