Individual
MS. MELISSA A. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
833 CHESTNUT STREET EAST, SUITE 300, PHILADELPHIA, PA 19107-4405
(215) 861-8800
(215) 861-8815
Mailing address
P.O. BOX 191, ROCKLAND, DE 19723-0191
(302) 651-4000
(302) 651-4945
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
SP009278
PA
363L00000X
Nurse Practitioner
005974
PA
363L00000X
Nurse Practitioner
RN579918
PA
363L00000X
Nurse Practitioner
Primary
SP009278
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0130621
—
NJ
05
—
4121562
—
MD
Enumeration date
12/22/2006
Last updated
08/30/2011
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