Witteveen, Melissa

Witteveen, Melissa is an individual health care provider with primary practice located at 1911 E Rezanof Dr , Kodiak AK 99615-6602. 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. Witteveen, Melissa can be contacted via phone (907) 481-5000.

Contact Information

Primary practice address
1911 E Rezanof Dr Kodiak AK 99615-6602
Phone: (907) 481-5000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA60312120 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA60312120 Washington

Profile Details

NPI number 1407106057
LBN Legal business name Witteveen, Melissa
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2012
Last updated Jan 3rd, 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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