Individual
MELISSA M. WITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
200 E CHESTNUT ST STE 303, LOUISVILLE, KY 40202-1831
(502) 629-5552
(502) 629-3132
Mailing address
PO BOX 766351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
5167P
KY
363LA2100X
Acute Care Nurse Practitioner
Primary
5167P
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000639764
ANTHEM - NIS
KY
01
—
000052152R
HUMANA - NIS
KY
01
—
109655
SIHO - NIS
KY
05
—
201072290
—
IN
01
—
3749355000
PASSPORT ADVTG - NIS
KY
01
—
50026565
PASSPORT - NIS
KY
05
—
7100039810
—
KY
01
—
9582620
CIGNA - NIS
KY
Enumeration date
09/07/2007
Last updated
07/21/2016
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