Individual
MELANIE NICOLE FOSSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
11430 N COMMUNITY HOUSE RD, CHARLOTTE, NC 28277-1591
(704) 702-2400
Mailing address
15 INDIGO CREEK TRL, DURHAM, NC 27712-2564
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
RN2291767
MA
363LP2300X
Primary Care Nurse Practitioner
RN2291767
MA
363LW0102X
Women's Health Nurse Practitioner
RN2291767
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110117744A
—
MA
Enumeration date
08/19/2015
Last updated
10/09/2023
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