Moore-Colvert, Melissa N

Moore-Colvert, Melissa N is an individual health care provider with primary practice located at 3201 N Van Buren St Ste 350 , Enid OK 73703-1814. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Moore-Colvert, Melissa N can be contacted via phone (580) 366-0844.

Contact Information

Primary practice address
3201 N Van Buren St Ste 350 Enid OK 73703-1814
Phone: (580) 366-0844
Fax: (580) 297-5197
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1976 Oklahoma

Profile Details

NPI number 1447555628
LBN Legal business name Moore-Colvert, Melissa N
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2011
Last updated Nov 20th, 2019 - about 7 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 1447555628 NPPES
Oklahoma Other PENDING MEDICARE PTAN

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