MEDICARE: MELISSA NATALIE BARNETT FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	F337239-1	NY
2	363LP2300X	Primary Care Nurse Practitioner	F337239-1	NY

General Provider Information

NPI Number	:	1073952651
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA NATALIE BARNETT FNP

Provider Business Mailing Address
First Line	:	782 E 56TH ST
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11234-1202
Country	:	US
Telephone Number	:	718-614-1807
Fax Number	:

Provider Business Practice Location Address
First Line	:	1241 E DYER RD
Second Line	:	145
City	:	SANTA ANA
State	:	CA
Zip	:	92705-5611
Country	:	US
Telephone Number	:	718-614-1807
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/18/2013
Last Update Date	:	11/21/2016

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