Vanausdoll, Melissa A

Vanausdoll, Melissa A is an individual health care provider with primary practice located at 7110 Lawyers Rd , Mint Hill NC 28227-3906. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Vanausdoll, Melissa A can be contacted via phone (704) 537-0020.

Contact Information

Primary practice address
7110 Lawyers Rd Mint Hill NC 28227-3906
Phone: (704) 537-0020
Fax: (704) 537-2144
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 103382 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 103382 North Carolina

Profile Details

NPI number 1487633137
LBN Legal business name Vanausdoll, Melissa A
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jun 21st, 2013 - about 11 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 1487633137 NPPES
North Carolina MEDICAID 8101447

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