Provider Demographics
NPI:1437284528
Name:ZEIDERS, MELVIN T III (CRNP)
Entity type:Individual
Prefix:MR
First Name:MELVIN
Middle Name:T
Last Name:ZEIDERS
Suffix:III
Gender:M
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 BOSLEY AVE
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-4011
Mailing Address - Country:US
Mailing Address - Phone:443-465-2742
Mailing Address - Fax:
Practice Address - Street 1:720 BOSLEY AVE
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-4011
Practice Address - Country:US
Practice Address - Phone:410-512-3200
Practice Address - Fax:410-823-0088
Is Sole Proprietor?:No
Enumeration Date:2007-02-22
Last Update Date:2014-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR134862363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care