Mckibben, Melissa A

Mckibben, Melissa A is an individual health care provider with primary practice located at 215 Stratton Rd , Rutland VT 05701-4621. She recently has 4 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care, Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Mckibben, Melissa A can be contacted via phone (802) 773-3386.

Contact Information

Primary practice address
215 Stratton Rd Rutland VT 05701-4621
Phone: (802) 773-3386
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 101.0135178 Vermont
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X C-APN.0004534-C-NP Colorado
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X CNP221310 Maine
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 079526-23 New Hampshire
Nursing Service Providers / Registered Nurse 163W00000X 173208 Colorado

Profile Details

NPI number 1851622070
LBN Legal business name Mckibben, Melissa A
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2010
Last updated Feb 16th, 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 1851622070 NPPES
Colorado Other 020804 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 32037775 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 6709728 KAISER COMMERCIAL NUMBER
Colorado MEDICAID 3133777 KAISER COMMERCIAL NUMBER

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