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NPI Code Detail

MEDICARE: MELISSA WILLETTE NP-C

MEDICARE:   MELISSA  WILLETTE  NP-C
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
1363LF0000XFamily Nurse Practitioner2272861MA
2363LF0000XFamily Nurse PractitionerRN2272861MA
3363LC1500XCommunity Health Nurse Practitioner2272861MA

General Provider Information

NPI Number : 1922550557
Entity Type Code : Individual
Provider Name (Legal Business Name) : MELISSA WILLETTE NP-C
Provider Business Mailing Address
First Line : 20 ASH ST
Second Line :
City : MIDDLEBORO
State : MA
Zip : 02346-1002
Country : US
Telephone Number : 774-265-3638
Fax Number :
Provider Business Practice Location Address
First Line : 47 OBERY ST STE 1A
Second Line :
City : PLYMOUTH
State : MA
Zip : 02360-2230
Country : US
Telephone Number : 508-747-4883
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/31/2016
Last Update Date : 10/11/2022

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Directions to “ MELISSA WILLETTE NP-C” Practice Location

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