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Individual
MELISSA TILETNICK
Active
Individual
MELISSA TILETNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0110006162
VA
363A00000X
Physician Assistant
016971-1
NY
363A00000X
Physician Assistant
2229
NE
363A00000X
Physician Assistant
Primary
PA100630
MA
363A00000X
Physician Assistant
PA11020
TX
363A00000X
Physician Assistant
PA9111177
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100676300
—
FL
01
—
4NMYG
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/18/2013
Last updated
08/13/2026
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