MEDICARE: MELISSA A UNDERHILL APRN

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	049497-23	NH

General Provider Information

NPI Number	:	1417673237
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELISSA A UNDERHILL APRN

Provider Business Mailing Address
First Line	:	7 CAMPUS CENTER DR
Second Line	:
City	:	MERIDEN
State	:	NH
Zip	:	03770-5402
Country	:	US
Telephone Number	:	603-469-2055
Fax Number	:

Provider Business Practice Location Address
First Line	:	7 CAMPUS CENTER DR
Second Line	:
City	:	MERIDEN
State	:	NH
Zip	:	03770-5402
Country	:	US
Telephone Number	:	603-469-2055
Fax Number	:

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

Provider Enumeration Date	:	10/13/2022
Last Update Date	:	10/13/2022

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Directions to “ MELISSA A UNDERHILL APRN” Practice Location

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