Individual
MELISSA WILLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
47 OBERY ST STE 1A, PLYMOUTH, MA 02360-2230
(508) 747-4883
Mailing address
20 ASH ST, MIDDLEBORO, MA 02346-1002
(774) 265-3638
Taxonomy
Speciality
Code
Description
License number
State
363LC1500X
Community Health Nurse Practitioner
Primary
2272861
MA
363LF0000X
Family Nurse Practitioner
2272861
MA
363LF0000X
Family Nurse Practitioner
RN2272861
MA
Other
Enumeration date
10/31/2016
Last updated
10/11/2022
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