Melvin, Michelle S.
Melvin, Michelle S. is an individual health care provider with primary practice located at 400 Highland Ave , Lewistown PA 17044-1167. 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 / Nurse Practitioner is her primary health care specialty. Melvin, Michelle S. can be contacted via phone (717) 363-9071.Contact Information
Primary practice address
400 Highland Ave
Lewistown PA 17044-1167
Phone: (717) 363-9071
Fax: (717) 363-9070
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 53-44679 | Kansas |
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 2003010235 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | SP027622 | Pennsylvania |
Profile Details
NPI number | 1073773552 |
---|---|
LBN Legal business name | Melvin, Michelle S. |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 10th, 2008 |
Last updated | Oct 20th, 2023 - about last year |
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 | 1073773552 | NPPES |
Missouri | Other | 2003010235 | STATE LICENSE |
Missouri | MEDICAID | 424479400 | STATE LICENSE |
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