Individual
MS. MELISSA MESICK METH
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.P.R.N.
Contact information
Practice address
555 WILLARD AVE, NEWINGTON, CT 06111-2631
(860) 667-6709
(860) 667-6872
Mailing address
98 BOULDERCREST LN, VERNON, CT 06066-5944
(860) 872-0746
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
000803
CT
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R29848
CT
Other
Enumeration date
05/16/2006
Last updated
07/08/2007
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