Provider Demographics
NPI:1891595047
Name:NAVARRO, MELODY HOPE (LM, CPM, BSM)
Entity type:Individual
Prefix:
First Name:MELODY
Middle Name:HOPE
Last Name:NAVARRO
Suffix:
Gender:
Credentials:LM, CPM, BSM
Other - Prefix:
Other - First Name:MELODY
Other - Middle Name:
Other - Last Name:GLOGOVSKY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:17600 YELLOW PINE AVE # NA
Mailing Address - Street 2:
Mailing Address - City:SHASTA LAKE
Mailing Address - State:CA
Mailing Address - Zip Code:96019-2074
Mailing Address - Country:US
Mailing Address - Phone:559-612-6819
Mailing Address - Fax:
Practice Address - Street 1:17600 YELLOW PINE AVE # NA
Practice Address - Street 2:
Practice Address - City:SHASTA LAKE
Practice Address - State:CA
Practice Address - Zip Code:96019-2074
Practice Address - Country:US
Practice Address - Phone:559-612-6819
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-17
Last Update Date:2025-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA763176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife