DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MELINDA CLARKE, MS, RN, FNP, PMHNP

Active Sole Proprietor

MELINDA CLARKE, MS, RN, FNP, PMHNP is a Nurse Practitioner healthcare provider located in BOHEMIA, New York. NPI 1184999344 is currently active in the NPPES registry. Verify at CMS.

Nurse Practitioner · BOHEMIA, NY

Registration Details

NPI Number
1184999344
Provider Type
Individual
Gender
Female
NPI Issued
Mar 20, 2012 (14.220467494153 yrs)
Last Updated
Oct 18, 2024
Licenses
687063 (NY)
344753 (NY)
405889 (NY)
344753 (NY)
Sole Proprietor
Yes

Practice Information

Address
80 ORVILLE DR STE 100
BOHEMIA, NY, 117162505
Browse NY providers · Browse ZIP 11716
Phone
6315005925
Fax
6315005979
Primary Specialty
Nurse Practitioner
363L00000X
Additional Specialty
Family Nurse Practitioner
Additional Specialty
Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.