# MELISSA MARIE MCMINN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1467787234
- **Gender:** F
- **Credential:** PA-C

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363AM0700X | Medical Physician Assistant | 013545-1 | NY | — |
| 363AS0400X | Surgical Physician Assistant | MM4243250 | PA | Yes |

## Other

- **Enumeration date:** 10/12/2009
- **Last updated:** 04/11/2022