Fossinger, Melanie Nicole

Fossinger, Melanie Nicole is an individual health care provider with primary practice located at 11430 N Community House Rd , Charlotte NC 28277-1591. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Women's Health, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Fossinger, Melanie Nicole can be contacted via phone (704) 702-2400.

Contact Information

Primary practice address
11430 N Community House Rd Charlotte NC 28277-1591
Phone: (704) 702-2400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X RN2291767 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X RN2291767 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X RN2291767 Massachusetts

Profile Details

NPI number 1194191593
LBN Legal business name Fossinger, Melanie Nicole
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2015
Last updated Oct 9th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194191593 NPPES
Massachusetts MEDICAID 110117744A

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