Basic Information
| Provider Information | |||||||||
| NPI: | 1538192752 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | MELFA | ||||||||
| FirstName: | MARGARET | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1302 WINE SPRING LN | ||||||||
| Address2: | |||||||||
| City: | RUXTON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212043664 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4108288060 | ||||||||
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| Practice Location | |||||||||
| Address1: | 8000 YORK RD | ||||||||
| Address2: | DOWELL HEALTH CENTER | ||||||||
| City: | TOWSON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212520001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4107042466 | ||||||||
| FaxNumber: | 4107043715 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/09/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LA2200X | R046167 | MD | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Adult Health |
No ID Information.