Individual
MICHELLE S. MELVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
400 HIGHLAND AVE, LEWISTOWN, PA 17044-1167
(717) 363-9071
(717) 363-9070
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
53-44679
KS
363L00000X
Nurse Practitioner
Primary
SP027622
PA
363LF0000X
Family Nurse Practitioner
2003010235
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2003010235
STATE LICENSE
MO
05
—
424479400
—
MO
Enumeration date
06/10/2008
Last updated
10/20/2023
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