Smith, Melissa H

Smith, Melissa H is an individual health care provider with primary practice located at 1107A Brookdale St , Martinsville VA 24112-4501. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Smith, Melissa H can be contacted via phone (276) 629-1076.

Contact Information

Primary practice address
1107A Brookdale St Martinsville VA 24112-4501
Phone: (276) 629-1076
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 0001-139024 Virginia
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024-166024 Virginia

Profile Details

NPI number 1871574111
LBN Legal business name Smith, Melissa H
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 11th, 2005
Last updated Mar 11th, 2020 - about 6 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 1871574111 NPPES
Virginia MEDICAID 010177014

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