Melillo, Karen Devereaux
Melillo, Karen Devereaux is an individual health care provider with primary practice located at 113 Wilder St Ste 200 , Lowell MA 01854-3057. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Melillo, Karen Devereaux can be contacted via phone (978) 934-4417.Contact Information
Primary practice address
113 Wilder St Ste 200
Lowell MA 01854-3057
Phone: (978) 934-4417
Fax: (978) 934-2015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Gerontology | 363LG0600X | 119120 | Massachusetts |
Profile Details
| NPI number | 1871101444 |
|---|---|
| LBN Legal business name | Melillo, Karen Devereaux |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2020 |
| Last updated | Jul 20th, 2020 - 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.
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