Individual
MRS. MELISSA J KIRICHIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
72 WASHINGTON ST, SUITE 1400-1700, TAUNTON, MA 02780-2491
(508) 880-0077
(508) 880-5247
Mailing address
292 BERKLEY ST, TAUNTON, MA 02780-4924
(774) 218-5419
(508) 880-5247
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
2005007275-21
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NP9637
BCBS
MA
Enumeration date
07/19/2006
Last updated
08/28/2007
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