Libby, Melissa Nye

Libby, Melissa Nye is an individual health care provider with primary practice located at 100 Brickhill Ave Ste 304, South Portland ME 04106-1999. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Libby, Melissa Nye can be contacted via phone (207) 761-4700.

Contact Information

Primary practice address
100 Brickhill Ave Ste 304 South Portland ME 04106-1999
Phone: (207) 761-4700
Fax: (207) 467-8910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 027766 Maine
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X AP081250 Maine
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP81250 Maine

Profile Details

NPI number 1033170709
LBN Legal business name Libby, Melissa Nye
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Apr 16th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033170709 NPPES
Maine MEDICAID 1033170709

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