Pyatskowit, Melissa Anne

Pyatskowit, Melissa Anne is an individual health care provider with primary practice located at 1111 Ronald Reagan Pkwy , Avon IN 46123-7085. 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. Pyatskowit, Melissa Anne can be contacted via phone (317) 217-3000.

Contact Information

Primary practice address
1111 Ronald Reagan Pkwy Avon IN 46123-7085
Phone: (317) 217-3000
Fax: (317) 963-5492
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71004174A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71004174A Indiana

Profile Details

NPI number 1154673820
LBN Legal business name Pyatskowit, Melissa Anne
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2012
Last updated Sep 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154673820 NPPES
Indiana MEDICAID 201153920
Indiana Other 267030313
Indiana Other 264430H32

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