Provider Demographics
NPI:1265421176
Name:MELTON, APRILE DARLENE (RNC GONP)
Entity type:Individual
Prefix:MS
First Name:APRILE
Middle Name:DARLENE
Last Name:MELTON
Suffix:
Gender:F
Credentials:RNC GONP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:812 CHAFEE AVE
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30904-5806
Mailing Address - Country:US
Mailing Address - Phone:706-724-0228
Mailing Address - Fax:706-722-2387
Practice Address - Street 1:812 CHAFEE AVE
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-5806
Practice Address - Country:US
Practice Address - Phone:706-724-0228
Practice Address - Fax:706-722-2387
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAR040661363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
S95466Medicare UPIN