Melamud, Polina M
Melamud, Polina M is an individual health care provider with primary practice located at 9 Cranbrook Blvd Fl 2 , Enfield CT 06082-3889. 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 / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Adult Health is her primary health care specialty. Melamud, Polina M can be contacted via phone (860) 962-6600.Contact Information
Primary practice address
9 Cranbrook Blvd Fl 2
Enfield CT 06082-3889
Phone: (860) 962-6600
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 004699 | Connecticut |
Physician Assistants & Advanced Practice Nursing Providers / Adult Health | 363LA2200X | 004699 | Connecticut |
Profile Details
NPI number | 1821376740 |
---|---|
LBN Legal business name | Melamud, Polina M |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2011 |
Last updated | Jun 25th, 2021 - about 4 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 | 1821376740 | NPPES |
Connecticut | Other | 004699 | LICENSE |
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