Braunda Mellick, LPN is a
Licensed Practical Nurse based in Saint Clair, Michigan. Braunda Mellick is licensed to practice in Michigan (license number 4703049729) and her current practice location is
920 Clinton Ave, Saint Clair, Michigan. She can be reached at her office (for appointments etc.) via phone at
(810) 434-1644.
NPI number for Braunda Mellick is 1508289430 and her current mailing address is 920 Clinton Ave, Saint Clair, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1508289430.
Provider's Profile
Full Name | Braunda Mellick |
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Gender | Female |
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Speciality | Licensed Practical Nurse |
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Location | 920 Clinton Ave, Saint Clair, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1508289430
- Provider Enumeration Date: 01/29/2014
- Last Update Date: 01/29/2014
Medical Identifiers
Medical identifiers for Braunda Mellick such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1508289430 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
164W00000X | Licensed Practical Nurse | 4703049729 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Braunda Mellick is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Braunda Mellick, LPN 920 Clinton Ave, Saint Clair, MI 48079-4951 Ph: (810) 434-1644 | Braunda Mellick, LPN 920 Clinton Ave, Saint Clair, MI 48079-4951 Ph: (810) 434-1644 |
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