Smith, Melissa A.

Smith, Melissa A. is an individual health care provider with primary practice located at 833 Chestnut Street East, Suite 300 , Philadelphia PA 19107-4405. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Licensed Practical Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Smith, Melissa A. can be contacted via phone (215) 861-8800.

Contact Information

Primary practice address
833 Chestnut Street East, Suite 300 Philadelphia PA 19107-4405
Phone: (215) 861-8800
Fax: (215) 861-8815
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X SP009278 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X SP009278 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 005974 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN579918 Pennsylvania

Profile Details

NPI number 1083779946
LBN Legal business name Smith, Melissa A.
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 22nd, 2006
Last updated Aug 30th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083779946 NPPES
Maryland MEDICAID 4121562
Maryland MEDICAID 0130621

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