MELODIE MAULDIN FNP PMHNP-BC NPI 1972953164

NPI Information

  • NPI: 1972953164
  • Provider Name: MELODIE MAULDIN, FNP, PMHNP-BC
  • Classification: Nurse Practitioner - 363LP0808X
  • Specialization: Psychiatric/Mental Health
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3330 N 2ND ST STE 601
    PHOENIX, AZ
    ZIP 85012
  • Phone: (602) 230-7373

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NPI Details

Melodie Mauldin, FNP, PMHNP-BC is a psychiatric/mental health nurse practitioner in Phoenix, AZ with 11 years of experience. Melodie Mauldin, FNP, PMHNP-BC NPI is 1972953164. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3330 N 2ND ST STE 601
PHOENIX, AZ
ZIP 85012-395
Phone: (602) 230-7373
Fax: (602) 230-5105

The NPI 1972953164 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/17/2016 and was last updated on 12/6/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363LF0000XNurse PractitionerFamilyAP8601ARIZONANo
2363LP0808XNurse PractitionerPsychiatric/Mental HealthAP8601ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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