Individual
MELISSA N. SMALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
33 KENDALL ST, WORCESTER, MA 01605-2726
(508) 334-8765
(083) 349-4775
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2310370
MA
363LA2200X
Adult Health Nurse Practitioner
RN2310370
MA
363LG0600X
Gerontology Nurse Practitioner
RN2310370
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110148853A
—
MA
Enumeration date
07/17/2018
Last updated
04/28/2023
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