Patillo, Melissa A.

Patillo, Melissa A. is an individual health care provider with primary practice located at 825 Fairfax Ave Ste 201 , Norfolk VA 23507-1914. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Patillo, Melissa A. can be contacted via phone (757) 446-7040.

Contact Information

Primary practice address
825 Fairfax Ave Ste 201 Norfolk VA 23507-1914
Phone: (757) 446-7040
Fax: (757) 446-7049
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001208112 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 364SG0600X 0015001015 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 0024174616 Virginia

Profile Details

NPI number 1376098574
LBN Legal business name Patillo, Melissa A.
Credentials AGPCNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2016
Last updated Nov 9th, 2017 - about 9 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 1376098574 NPPES
North Carolina MEDICAID 1376098574
North Carolina MEDICAID 1376098574

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