Lister, Melissa Ann
Lister, Melissa Ann is an individual health care provider with primary practice located at 111 Avenue F , Bay City TX 77414-4117. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology, which is considered as her primary health care specialty. Lister, Melissa Ann can be contacted via phone (979) 245-2008.Contact Information
Primary practice address
111 Avenue F
Bay City TX 77414-4117
Phone: (979) 245-2008
Fax: (979) 245-2205
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Obstetrics & Gynecology | 363LX0001X | 651257 | Texas |
Profile Details
NPI number | 1053759118 |
---|---|
LBN Legal business name | Lister, Melissa Ann |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 11th, 2013 |
Last updated | Jan 5th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053759118 | NPPES |
Texas | Other | HO8783NC01 | BCBS OF TX |
Texas | Other | 12706093 | BCBS OF TX |
Texas | Other | 4816948 | BCBS OF TX |
Texas | MEDICAID | 357226501 | BCBS OF TX |
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