Individual
MRS. MELANIE RENAE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
761 JOHNSONBURG RD, SUITE #160, SAINT MARYS, PA 15857-3483
(814) 788-8777
(814) 788-8770
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-4200
(814) 375-4232
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA003330
PA
363AM0700X
Medical Physician Assistant
Primary
MA056954
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103146235
—
PA
Enumeration date
09/16/2014
Last updated
10/23/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us