Gwin, Melissa Ann

Gwin, Melissa Ann is an individual health care provider with primary practice located at 2600 Greenbush St , Lafayette IN 47904-2479. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Gwin, Melissa Ann can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Greenbush St Lafayette IN 47904-2479
Phone: (765) 448-8000
Fax: (765) 838-4215
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71002825A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 71002825A Indiana

Profile Details

NPI number 1124278569
LBN Legal business name Gwin, Melissa Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2008
Last updated Nov 5th, 2024 - about 2 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 1124278569 NPPES
Indiana Other 12736891 PHCS NUMBER / MULTIPLAN
Indiana MEDICAID 200937540 PHCS NUMBER / MULTIPLAN
Indiana Other 000000610495 PHCS NUMBER / MULTIPLAN

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