Provider Demographics
NPI:1992784979
Name:ASHE, MELANIE WATERS (FNP)
Entity type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:WATERS
Last Name:ASHE
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 E GROVER ST
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-3919
Mailing Address - Country:US
Mailing Address - Phone:704-484-5100
Mailing Address - Fax:704-484-5297
Practice Address - Street 1:315 E GROVER ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-3919
Practice Address - Country:US
Practice Address - Phone:704-484-5100
Practice Address - Fax:704-484-5297
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2013-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200980207Q00000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8917497Medicaid
NC8917497Medicaid
NC2591968BMedicare PIN