Vanausdoll, Melissa A
Vanausdoll, Melissa A is an individual health care provider with primary practice located at 7110 Lawyers Rd , Mint Hill NC 28227-3906. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Vanausdoll, Melissa A can be contacted via phone (704) 537-0020.Contact Information
Primary practice address
7110 Lawyers Rd
Mint Hill NC 28227-3906
Phone: (704) 537-0020
Fax: (704) 537-2144
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 103382 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 103382 | North Carolina |
Profile Details
| NPI number | 1487633137 |
|---|---|
| LBN Legal business name | Vanausdoll, Melissa A |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Jun 21st, 2013 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487633137 | NPPES |
| North Carolina | MEDICAID | 8101447 |
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