Individual
MELISSA GOLDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
2127 N HICKORY ST STE E, LOXLEY, AL 36551-2412
(850) 466-1070
(539) 666-1602
Mailing address
100 CAMBRIDGE ST, BOSTON, MA 02114-2509
(888) 731-8994
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1-147135
AL
363LF0000X
Family Nurse Practitioner
0
AL
363LF0000X
Family Nurse Practitioner
Primary
1-147135
AL
363LF0000X
Family Nurse Practitioner
1-174135
AL
Other
Enumeration date
11/03/2020
Last updated
11/24/2025
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