Individual
MARY-ELLEN MELTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PMHCNS-BC
Contact information
Practice address
5 WALPOLE ST, SUITE 3, NORWOOD, MA 02062-3351
(781) 255-8885
(781) 255-8883
Mailing address
63 PROSPECT ST, WEST BRIDGEWATER, MA 02379-1432
(508) 588-5782
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
204029
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
131677000
MAGELLAN
MA
01
—
409700
TUFTS
MA
01
—
A006383
VALUE OPTIONS
MA
01
—
PN0410
BLUE CROSS
—
Enumeration date
07/26/2006
Last updated
06/12/2013
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