Individual
MELISSA ARLENE MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP-BC
Contact information
Practice address
90 SOUTHSIDE AVE, SUITE 350, ASHEVILLE, NC 28801-4160
(828) 277-4810
Mailing address
1257 SHADOWFAX WYND, HICKORY, NC 28602-9214
(828) 850-4737
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
600118
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
600118
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1285783415
—
NC
01
—
16381
BCBSNC
NC
Enumeration date
01/09/2007
Last updated
06/22/2021
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